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everen CHART NO. <br /> e � <br /> � <br /> City of Everett i <br /> Sewer Appli�cation and Permit ' <br /> i <br />� 27150 <br /> N0. DATE �p:il 26, 1989 <br /> Service Address�pp�y�, � yp y�0 _ Utility Account No. <br /> Billirg Address ow Permit Fee— <br /> l0 00 <br /> City, State, 2ip���� y� 9Y20� Connection Charge�s) <br /> i <br /> • Owner (Mortgagor►__��� Y �yy� Total Fea lo GO <br />� . <br /> Billing Name ow _ <br /> ' ' Connection By I <br /> Address Si ned ��- � � <br /> 9 —�i- � � <br /> Phone , a,�o�� I <br /> DESCR�PTION: Sewer District I <br /> Lot l�n _ Block <br /> Plat— ..�...._ = Monthly Sewer Ser ' y �� I <br /> ��..�} �lat�s Y1�F,.., ,. ..� <br /> Unplatted Description Monthly Sewer Con � <br /> i�b�bi��:�r <br /> Type Permit: w� p�m�lo� we�l� Lo�� Trunk <br /> r�ec czs.ou <br /> Lateral ��-�' ���•� <br /> Remarks: I�i't.:� ttU.OD <br /> Abutting Lot Line �p��,� �. <br /> N. S� E• W-I'EIA7t irJt yd it. <br /> :,ICWI"F' V -GO.UD <br /> Wiif.R t6C� 'Il7 <br /> II(U)02715U <br /> !Ai1Nb: ;Iu.UO <br /> Approved By I <br /> IMPOflTANTI e I <br /> CALL 1$OOd24•666548•HOURS Issued By <br /> PRIOR TO DIGGING <br /> CALL 259�8817 FOR INSPECTION I <br /> Inspection By I <br /> --- Date Inspected _ � <br /> SEE SKETCH ATTACHED Np, Z715O I <br /> IfJ:,('i:Cl IO�V i <br /> I <br />