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I <br /> I <br /> � <br /> CHART N0. — <br /> everett <br /> e �= �� �N� <br /> R 5- -�8-�x� <br /> u <br /> City of Eve�ett � `� <br /> :; � _ <br /> Sewer Application and Permi� �; __ , <br /> -� � � �,. <br /> Nerch 9. 1990= J � - <br /> No. 27593 DATE — <br /> Service Address 214 -IIn� nl sr. _ Utility Acco�nt No. <br /> Billing Address s,� Permit Fee 30.00 <br /> City, State, Zip r�ver.it, WA 9azoe Connection Chargels) <br /> Owner (Mortgagorl�ye• p Total Fee 30.00 <br /> Billing Name_ �++�� ' <br /> � Connection By � j <br /> Address Signed� ' � � <br /> customer <br /> Phone �S � I <br /> DESCRIPTION: Sewer District — <br /> ILot Block <br /> I Plat Monthh� Sewer 5ervice <br /> Unplatted Description Monthly Sewer Constr. <br /> - Trunk <br /> Typa Permit: <br /> Lateral <br /> rrn 72y <br /> Remarks: <br /> Abutting Lot Line <br /> N, S, E, W_ _ ft. <br /> - Approved By xcoaen g. T�jL _ _. <br /> Cily Enpineer <br /> IMPORTANTI <br /> �SSUBd By �1nrQnrat F_ M�Lrv1 ___ _ ., _ i <br /> CALL 1-800-024-555548�HOUHS I <br /> PRIOR TO DIGGING <br /> CALL 269�8811 FOR INSPECTION '' � <br /> Inspection By � �j' /�•/ <br /> _ _ Date Inspected � __ <br /> SEE SKETCH ATTACHE� NO. 27593 <br /> I�.. , , ,: i ��;:1 i <br /> � <br /> � <br />