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CHART N0. <br /> � everetl I <br /> e � <br /> � <br /> City of Everett <br /> Sewer Applicaf ion cand Perrv�it I <br /> N0. 261'29 DATE �h �� 1987 _ <br /> Service Ar�dress 1127 1��•� a� �!�e Utility Account No. <br /> Billing Address <br /> i�z� _ �nnt►. s� � ��a Permit Fee , - <br /> City,State, ZiP ��tit ��� Connection Chargels) <br /> Owner (Mortgegor) - - -----' "11im _ Total Fee , '—' <br /> Billing Name ----- �•• "- <br /> Connection Ry <br /> Signed � � � � � <br /> Address ' c'"'°"'°' <br /> Phone <br /> Sewer District <br /> DESCRIPTION: <br /> Lot �e Block Monthly Sewer Service <br /> Plat <br /> Unplatted Description Monthly Sewer Constr. <br /> , Trunk <br /> �--- <br /> Type Permit: Leteral <br /> ili .'7!f 7 Gt. Y1 lM Mhb.i6 FK <br /> Remerks: Abutt�ng Lot Line��;��„ ft. <br /> N, S, E, W , <br /> iqllbJlll!�11 <br /> —� lN'1.�'ll �:10.G0 <br /> _ NI M M�Ik�IH 4 <br /> IlIA: !�•�f� <br /> Approved By ���— <br /> i er <br /> S:LI. • 410.00 <br /> IMPORTANTI �r��'�'�': �� <br /> Issued 8Y <br /> CAL11�800d24-566548-HOURS �;�p"�7; f115.0U <br /> PRIOR TO DIGGING <br /> CALL 259-8811 FOR INSPECTION I <br /> Inspection By--------�— � <br /> Datelnspected — <br /> — — - - No. 26129 <br /> SEE SKETCH ATTAGHED <br /> I��:t,P!�C�il(.�f�: <br />