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everett <br />� <br />City of Everett <br />Sewer Application and Permit <br />No. 25594 DATE _ �Pr11 10, 1986 <br />cHr,Rr rvo._ <br />Service Address 1� – Z'����=' __ Utiliry Account No. <br />Billing Address _ _ Permit Fee �•� <br />City, State, Zip __ Connection Charge�s) ��•� _ <br />Owner (Mortgagor) pa� �rl� Total Fee ]O.OU <br />fi�eaiul fe�s, OrAinance 1171–BSi <br />Billing Name Saver �71.00 <br />.c.arF Cc��n. .?C�/�i '95� .c'F< <br />Connection 8y_ _ <br />Address _ __ Signed <br />Custnmer <br />Phone _. __ <br />DESCHIPTION: <br />Lnt Block <br />Plat <br />Unplatted Descri�.[ion_. <br />Type Permit: �M �A��ian — <br />Remnrks: <br />IMPORTANTI �J` � <br />CALL 1A00-424-5555 48�HOURS <br />i`RIOF TU DIGGING <br />CALL 253A811 FOq INSPECTtON <br />SEE SKETCH ATTACHED <br />Sewer District__ <br />Monthly Sewcr Service <br />Monthly Sewer Constr. <br />Trunk <br />Lateral <br />Abuttiny Lot Line <br />N, S, E, W, <br />; jG Sj <br />Hpproved By �� R• THE�L <br />G;y Enpinen <br />Issued By ►'laz4er�t MeLeoc9 _ _ <br />Inspection By__ <br />Datelnspected ______ <br />No. 25594 <br />!fV::PFC i'ION <br />