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__ _ __ _ � <br /> i <br /> �� � _ _ , <br /> �i y <br /> q " i-x, CHAR'f NO._ <br /> � y�jy � , ' <br /> H 'Z� fVCfC�1 c� 71�i�Cr�Ir•-C; <br /> tC n I �. G: <br /> y �7 � � L� __ ��-) _._. 1 <br /> [+]y � <br /> x I <br /> O � + City of Everett <br /> H <br /> ��f1 I <br /> g Sewer Applicatior� and Nermet <br /> � y�� � y i <br /> g��..i No. 27144 DATE weril 2o iQnQ <br /> o�tn <br /> � Service Address 5829 Bmadwv Utility Account No. <br /> H O� 70_00 <br /> 2�120 Hzis�c.� Permit Fee <br /> Billing Address � <br /> City,State, Zip Brler. N7� <br /> Qa��F Connection Chargels) ��� <br /> � ,,,,,,.._ T Total Fee 30 00 <br /> � Owner (Mortgagor� F}�irvant A n� �, <br /> Ordinance 1171-65s , <br /> I Billing Name S` MAtQL 179.00 <br /> � �A�r N�pQ 471.00 <br /> i — � � � 65Q.00_.._.� <br /> Connection By <br /> Address Signed <br /> , _ <br /> Cus�omer <br /> \ <br /> ` Phone dA7 155� �, � I <br /> I C�,, \ <br /> DESCRIPTION: Sewer DisfYict �Ffdda�t2tt '' Wi�� ��«n1H5'.ii� l:tt <br /> 1 i Lot Block_ Monthly Sewer Sen�o89.41i.17Z2--. <br /> � �+�1 Plat If f�i �L4:t:.�u1 <br /> `� MonthlySewerCon9ttft• ==���•!�� <br /> i Unplatted Descriptior �r e EEeehed- ���,H ;i�,�,i <br /> Trunk f; r�fN 2'/0.0��`�1 <br /> � TYPe Permit: F �'UI il".lfi <br /> � ��—�� Lateral � ��q��• 35��r� <br /> I �� htulf�'7144 <br /> Remarks: Abutting Lot Line �'�-��1i i�'�'�'� <br /> N � E W I�U? 11 b�70.1t] ft. <br /> 1( -� E6� .UG <br /> �"� A00605261i <br /> � ty�trr• ��u.t�u <br /> ,,�i�cr: ai,�s.iH� <br /> � � <br /> p�,�� Approved By <br /> c� <br /> ` 1 IMPORTANTI Issued By t�Cn�t Mcr'°o� <br /> �'1�l�� tiALL 7A00-024-5555 48�HOURS � <br /> PRIOR TO DIGGING <br /> CALL 259�8817 FOR INSPECTION ,y� / _ <br /> Inspection By <br /> �f�tiC�— <br /> Datelnspected "" ''dy <br /> No. 27144 <br /> SEE SKETCH ATTACHED <br /> IN�PGCTION <br />