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c' <br />everett <br />City of Everett c S L? <br />94F sXQ Sj`' <br />Sewer Application and. Permit., <br />No. 27458 DATE - Decuber 27. 1989-- <br />Service Address_ <br />Billing Address - <br />City, State, Zip <br />Owner (Mortgagor) --- <br />Billing Name_ <br />Connection <br />Addresses - — <br />Phone <br />DESCRIPTION: <br />Lot _ Block <br />Dr., <br />Unplatted Descripti <br />Vft de, - <br />Type Permit: <br />�KJ11 <br />Remarks: <br />IMPORTANTI <br />CALL 1800-424.5555 48 HOURS <br />PRIOR TO DIGGING <br />CALL 2598811 FOR INSPECTION <br />SEE SKETCH ATTACHED <br />CHART NO. <br />Utility Account No. <br />to <br />PUSTING �>_ _ <br />Permit Fee_ 30 00 <br />Connection Charge(s) I+o DD <br />Total <br />Utility Development Pee Ord. 1171-85 <br />rater 179.00 <br />serer 471.00 <br />650.00 <br />Signed <br />cuftoma <br />Sewer District Bond III <br />Monthly Sewer Service_ <br />Monthly Sewer Constr. <br />Trunk 33a-oo - <br />Abutting Lot Line <br />N,S,E,W <br />Approved ByDm.CIIiJt1. <br />env ql R <br />Issued By <br />Inspection By <br />Date Inspected <br />No. 27458 <br />