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everett CHART NO. <br /> e t� <br /> �:�ey or e�e►�tt � <br /> � 8 � 8 S � <br /> � � 4 � <br /> ~ ~ V C'�f M <br /> Sewer Applicction and P�t��� � � � 'W u = <br /> ' �� �. <br /> No. 262;.d � �� �� � � � � � �l � <br /> DATE J►uans� 5 1987 <br /> Service Address 1�=7 IaOth Bt 8M ��g <br /> Utllity Account No. <br /> Billing Address e� Permit Fee_ 10 00 <br /> City,State, Zip �=stt, NA 98]M Connection Charge�s) <br /> Owner (Mo�tgagor) �Y M. l.Lrtt� Total Fee 10.00 <br /> Billing Name Sae <br /> Connection By <br /> Address Signed_ <br /> Phone Cus�amer <br /> DESCRIPTION: Sewer District_�ona ri <br /> Lot— �� Block <br /> Plat lairnr E�tale� Monthly Sewer Service <br /> Unplatted Description Monthly Sewer Constr. I <br /> Type PermiL• Trunk � <br /> Lateral I <br /> Romerks: i <br /> Abutting Lot Line I <br /> ' N, S, E, W ft. I <br /> � <br /> � <br /> I <br /> Approved By__ u.rm:g p �a. � <br /> cnv Eopinen � <br /> IMPORTANTI <br /> CALL 1A00-024�666648•HOUMS Issued By u.rQ�ti� w ..�.__o i <br /> PRIOR TO DIOGING <br /> CALL 269$811 FOR INSPECTION <br /> I <br /> Inspection By <br /> Datelnspected � <br /> SEE SKETCH ATTACHED Np, Z6298 i <br /> If;Cp[C-i1C�N <br /> I <br />