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CHART NO. <br /> everetl <br /> � x <br /> � <br /> 4 <br /> 4' <br /> City of Everett � � � � � � <br /> ' � � � � <br /> �i �i <br /> �. �w r .n .�. <br /> • <br /> Sewer Application and P�rr�i� ;, � � � <br /> N0. �v687 DATE wv'y9. 198a 'J � � � ' � � � <br /> Service Address Utility Account No. <br /> BillingAddress 3�37=�iqN� �h1111 /i67 Permit Fee 10,00 <br /> City,State, Zip— �q��� M� 9Y'0� Connection Charge�s) <br /> Owner (Mortgagor�_�����;�� p��_ Totel Fee 10.00 <br /> Billing Name .� <br /> Connection By <br /> Address � <br /> Signed <br /> cw�omer . <br /> Phone ��},��sy <br /> DESCRIPTION: Sewer District_ <br /> Lot 167 Block <br /> Plet Monthly St;:ar Service <br /> ark <br /> Unplatted Description _Monthly Sewer Constr. <br /> Typa Permit: — TrunK <br /> Nwr caoe�otian. �obil� bo� <br /> Leteral <br /> Remarks: I <br /> Abutting Lot Line <br /> N, S, E, W ft. i <br /> � <br /> Approved 8y � R. 'lE6J1L � <br /> Gty Enpmem <br /> IMPORTANTI I <br /> CALL 1AOOd24-5556 48•HOURS Issued By 1Mz4ai'�L E. MCfIOd _ <br /> PRIOR TO DIOGINO <br /> CALL 269�8811 FOR INSPECTION <br /> Inspection By I <br /> I Datelnspected <br /> SEE SKETCH ATTACHED N0. Zsb87 <br /> � Ifd�f'CCTIOfI <br />