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- - CHART NO. — <br /> everett <br /> e <br /> City of Everett <br /> Sewer Application Qnd Permit � <br /> N�. 259T2 DATE ��.ig� --- ' <br /> Service Address 60p9���� Utility Account No. <br /> Billing Address +�» �--►� Dis+�otor SL Permit Fee �0.00 <br /> City,State, Zip .�+;*, � aplOA Connection Chargels) 270 00 <br /> Owner (Mortgagor) *�. ��«-M��nn Total Fee ]0 00 — <br /> Billing Name �--- special Utilitr �. �• 3� 1171-85s <br /> valwr 115.00 <br /> Connection By Q--- �wr I03.00 <br /> 418.0�1;18lBG 3:47FH OOOtiN?fKll t'�,K3 <br /> Address Signed <br /> Custonxr' <br /> 8f_qX)L?Ol'J <br /> Phone •��,^,3�^ t�l/i t71b.50 <br /> IY.� _ii7J.U0 <br /> DESCRIPTION: Sewer District�—a,F - <br /> Lot � Block �� ��� ql•`� <br /> Monthly Sewer Servtc@ . <br /> Plat <br /> rtM1:,' 3;,O.t1D <br /> Unplatted Description Monthly Sewer Con���.� <br /> Trunk k'���F� 4�'� <br /> Type Permit: "' " <br /> Lateral c'�'�F �'��.� <br /> L 4l • <br /> Remarks: �''�`'' ��'j���� <br /> Abutting Lot Line�a�-�}; 11s3HU.0U <br /> N, S, E, W ft. <br /> Approved By iFRrD R Txm�_ <br /> Ciry Engineer <br /> IMPORTANTI <br /> Issued By ►�MsTM�—�1� <br /> CALL 1�ROOd24•5555 48•HOURS <br /> PRIOR TO DIGGING <br /> CALL 259�8811 FOR INSPECTION � <br /> Inspection By � �'�`' <br /> ,ate Inspected � � <br /> - z-zi-�z . <br /> 25972 <br /> SEE SKETCH ATTACHED <br /> NO. <br /> I i�:�f'cCll Qtd <br />