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everen <br />� <br />City of Everett <br />Sewer �\pplication <br />NO. ? �159 DATE <br />Ser�ice Address_ <br />Billing Address Z7Z3 liGth it Y� <br />�� <br />_ <br />� <br />� �. <br />;,� � <br />�. <br />� � <br />and Permit�., � <br />C � <br />L <br />� � u <br />— lfey 3� �989 <br />CHART <br />5�w'�-ra �snl�6 <br />�• zs•�? <br />:,�__;�ax ,� ��; <br />:��=.`�� ��j'] r�'5 ; <br />P o� M e1 M��Q � + <br />� � � � `i <br />0 Q' e <br />ti <br />� T S [�J .-� 4� t '[ <br />��J ` �) � � f1 � � �~ � � /�1 <br />C � 3J4:u.3�,�^, ��_� � L� <br />Utility Account No. <br />Permit Fee �e,� <br />;,'ity, State, Zip ��tt, atA aB208 Connection Chargels) 68g�pe <br />Owner (Mortgagor)�y�,,yut, Tctal Fee_ aa.00 , <br />Billing <br />Connection <br />• <br />DESCRIPTION: <br />Lot 1 Block <br />Plat hsol�da Gr�n <br />Unplatted Description <br />Permit: <br />Remarks: <br />IMPORTANTI <br />CALL 1-600-424-5555 48�HOURS <br />PRIOR TO DIGGING <br />CALL 25�3-8A71 FpR INSPECTION <br />SEE SKETCH ATTACHED <br />Otillty Dovalopment Poe Ord. 1171-85 <br />w�tar 179.00 <br />aawar +171.00 <br />650.00 <br />Signed <br />Cusromei <br />Sewer District ��� <br />Monthly Sewer <br />Monthly Sewer Constr. <br />'frunk ���_ <br />Lateral +90.� <br />Abutting Lot Line <br />N,S,E,W <br />Approved By <br />cu • <br />Issued By stley- <br />� <br />Inspection By ��� � <br />Date I nspected � ' �-t% <br />No. 27159 <br />I f�; P��, i�! OPd <br />