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i <br /> � <br /> � <br /> CHART NO. <br /> evered <br /> � �' � c� �sr�ri� <br /> � ��- 58'9O <br /> Y <br /> f' <br /> City of Everett L � ;� <br /> �e`• ; � <br /> . w <br /> Sewer Appi�ication and Permi� <br /> C� .-� �.4 :Y <br /> C R ,4 � <br /> No. 2755� .' �� DATE Marrl� 7_ 1900 _ <br /> Service Address�—.;�� c,�— Utility Account No. <br /> BillingAddress �'�O Permit Fee �nn <br /> City, State, Zip�p�y���.—go,nu Connection Charge(s�_ _ <br /> Owner (Mortgagor) � .(��pt�lps -- Toral Fee 30.00 <br /> Billing Name <br /> Connection By_ OYmar_ _ <br /> Address_ Sinned <br /> cu:�omrr <br /> Phone — — <br /> DESCRIPTION: Sewer District <br /> Lot Block — <br /> Plet _ Monthly Sewer Service___ <br /> � I <br />, Unpletted Description _ Monthly Sewer Constr. I <br /> - Trunk j � <br /> Type Permit: <br /> Lateral _ <br /> Remarks y�� f�ig --- Abutt�na Lot Line I <br /> N- S• E� W— — ft. I <br /> i <br /> I <br /> — - --- --- APProved By_ ,�LFRIiD R 71f1?AI. -- <br /> Ci�y E�9'�eer <br /> IMPORTANTI <br /> Issued By ,�.���}} <br /> CALL 1�800-024�6555 49�HOURS <br /> PRIOR TO DIGGING <br /> CALL 269�E817 FOR INSPECTION : � 7�- ' ,�� <br /> i <br /> Inspection By — <br /> __ Datelnspected_ � � ��_ <br /> SEE SKETCH ATTACHED NO. 2755� I <br /> li:'��i�� �:�ilU�d <br /> I <br />