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CHART <br />everen <br />e <br />City of Everett <br />��wer An�slication and Perirv�it <br />No. 27347 DATE �t°b°r 9. I9II9 � <br />Service Address 7108 Scverlv �a Utility Account No. <br />Billing Address_ 15a4 Lnksshor� nr _ Permit <br />m pnSrING y L <br />4PsIIi Z.SO <br />City, State, Zip_ �o Stevass wa 982Fg Connection Charge�s) <br />Owner (Mortgagor) n Sutanaler Total F <br />Billing Name � <br />Connection By 5=:^.'^� <br />DESCRIPTION� <br />2.50 <br />�.._��._.- - - <br />, :', <br />Signed — ,., . ----- <br />cu:tomer <br />Sewer District <br />Lot Block 1¢/09/6Y 3�'i6PN fXlORM6�b1 tCit <br />Monthly Sewer Serwce <br />Plat tlQ00231 i7 <br />Unplatted Description Monthly Sewer Con�tr��� 9,y.,;� <br />tlU[HKY13ii <br />Trunk <br />Type Permit: Cap off �-q� g�,pp <br />Lateral _ <br />Remarks: <br />IMPORTANTI <br />CALL 1-000-024•5555 4II•HOUnS <br />PRIUR 7� D!�GING <br />CALL 259-6811 FOR INSPECTION <br />SEE SKETCH ATTACHED <br />Abutting Lot Line <br />N, S, E, W <br />Approved By ��b R. 7HEAL _ <br />City EnBineer <br />Issued By Susy t:augen <br />r � <br />Inspection By �'t'�`"` `�� — <br />Oate I nspected��' �" - � i' <br />INSPCCTIOfJ <br />No. 273A7 <br />