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evrren <br />� <br />City of Everett <br />Sewer Application and Permit <br />CHART <br />,�-,,, ��, �%��-.�< //�1%r� <br />NO. 2`5916 DATE �eea..t�.r 7. 1986 � <br />ServiceAddress__ ?�n liC�h tt S_r __ UtilityAccountNo. <br />Billing Address_ Eat� <br />City, State, 2ip L�ratt AA 98204 <br />Owner�Mortgagor) �viceN,_(eris <br />Billing Name 8ass <br />Connection Bv <br />Phone_ ��e-oas7 <br />°ermit Fee 30.00 <br />Connection Charge�s) 330.OQ <br />Total fee 30 00 <br />Speciel Ot111tq Pw 1171-85 <br />Sawr 4�1.00 <br />�� Il.'Ui;l„� -',:.+:)'r1lrqGiN3r�pt_' tfl' <br />Signed� � � <br />tomer: <br />� '.�YJ��IS �� <br />— -- t;1 ul 6 <br />DESCRIPTION: Sewer District_ E �.� � N� i l <br />Lot __ Block_ '*'� ' <br />Plat Monthly Sewer Ser�lc�'`'�' '�'��"� <br />Unplattrd Description Monthly Sewer ^onstr. <br />Type Permit: I:nr ConneGt,� <br />Remarks: p,�,: .; <br />LIL� 71> fip:rert�+n: <br />inaalce fr,r etc�e Fc:�r cr;nstructian (si <br />c <br />rotK::t�� uNrr;) L.;Yorr 11/''1/n< +�.• <br />fw�lia <br />3;?LhJ i.!.lr�,�,',' <br />vt: y�tt, P!� v(4^� n^�� <br />IMPORTANTI L'� <br />CAL 1A00�42q�555548-HOURS <br />rrilOR TO DIGGING <br />CALl259A811 FOR INSPECTION <br />SEE SKETCH ATTACHED <br />Trunk_ <br />A6�ttin5 Lot Line <br />N,S,E,W, <br />Approved By ALF��L; ;'. llr:�u <br />cnV Enpinex <br />IssuB ��` . �.�: C. !:i.;,.. <br />ed v_— <br />Inspection By � � <br />Date lnspected�, <br />No. 25916 <br />I�'I;;'LC1�IUfJ <br />