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everen <br />e <br />City of Everett <br />Sewer Application and Permit <br />N0. �v`�91 DATE ►�arah 42, 1988 <br />Service Address�lS iiti >»r�, ar ag A1A� � <br />Billing Address r�nn �»rw oi ty <br />City,State,Zip u�+na�...���.- v� q8072 <br />Utility Account No. <br />Permit Fee�g� <br />Connection Charge�s) �11ect.�A oa� Dldq. 1 <br />Owner (Mortgagor) r�Q � � _ Total <br />Billing Name �--- <br />Connection 8y r. b�� Ia�u],ac�—^ <br />Address Q--- <br />Phone <br />DESCRIPTION: <br />lot Block <br />Plat <br />Unplatted Description <br />Type Permit: <br />Remarks: <br />IMPORTANTI <br />CALL 1AOOd24-565548�HOURS <br />PRIOR TO DIGGING <br />CALL 259E811 FOR INSPECTION <br />SEESKETCH ATTACHED <br />�0.00 <br />Sp�cial Utility Fee Ord. 1171-85 <br />rater 10Jt.55 <br />�av�i 27I7r�5 <br />3762.00 <br />Signed <br />Cusinmer <br />Sewer District , , . ; i <br />Monthly Sewer Servi <br />Monthly Sewer Con��, f��'�b� <br />1;T�5 <br />Trunk �'��ll-f' dAU.IIU <br />Lateral �� . �'�:m <br />id71N�,:n'�1:3 <br />Abutting Lot Line��y�h, q.��,� <br />N, S, E, W r�i � •.,6e fYl ft. <br />If(MlU ;6`,�'9 <br />'��.�l� `'.Il,llll <br />I�.ill�Ilt `.'.li.�i(1 <br />� ��. i '� .-.;t..�.lel <br />Approved BY ���, R:��T�'AL__ <br />'.�i�oy�nea, .�I,�x; <br />li�i�-�� t �i�n.'.141 <br />Issued By a4l�l�tl4llSl: ��- iu <br />�� '/ <br />Inspection B� E_2::���� �� <br />Date Inspected /� �,:� �� <br />NO. 26y91 <br />U. .'� li'�, <br />