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CHART N0. <br /> everen i o t��-r�Nc�, <br /> � � 8 - 8- �0 <br /> City of Evurett F � �� `�� � � � � � �; <br /> � yj �p `� �j O N�, rd <br /> r ,nM :» ' :: � ."'�. i3 <br /> Sewer Applization and �� ~ it ~ � <br /> � 4� <br /> 27418 �' _. � � � � � � � � :� `� � <br /> N0. DATE __;�,�:��3a, 1�89 <br /> Service Ad�ress a6 1 �■..me ��* Utility Account No. <br /> EiltingAddress isa u t»� PermitFee 30.^^ — <br /> City, State, Zip a�c �.. +r� 9B1]+ Connection Chargels► �; - <br /> Owner (Mortgagorl - - '---`' Total Fee 30 00 <br /> dCility fMrelopaat Fa� OrA. 1171-65 <br /> Billing�aame -- vat�s 22�.00 <br /> s�var 589.00 <br /> Connection By � ����—�' � - 813.00 <br /> Address a- _ Signed_ c�.�oox� <br /> Phone � �S• �95Z <br /> DESCHIPT�ON: Seti�:r District — <br /> Lot Z� Bleck Monthly Sewer Service <br /> Plat �Hr� n..� �ee <br /> Unpletted Description___ Monthly Sewer Constr. <br /> — Trunk <br /> Typa Permit: <br /> Laterel ___ <br /> Remarks: Abutting Lot line <br /> N, S, E, W ft. <br /> Approved By_�T'��D A. THY1t" <br /> C �Enpineer <br /> IPAPORTANTI $��y y�uy� <br /> Issued By <br /> �ALL 1-800�424-6555 48•HOURS <br /> PRIOR TO DIGGING <br /> CALL 259�8B11 FOR INSPECTIODI ` j <br /> Inspection By �`�"��� <br /> Date Inspected_ a 1 � -l'�° <br /> SEE SKETCH ATTACHED NO. G�418 <br /> I fJSP[CTI ON <br />