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CHART N0. <br /> everetl <br /> � N <br /> � <br /> City of Everett y� $ $� Q $$ g <br /> � IfI v�1!7 M .�-i (` 1�' 1 <br /> ± x :6w w .t «: <br /> Sewer Application anc�$rmi <br /> N 8p ya�� �� <br /> C i � � L m W u �� <br /> NO. ��oo� DATE 2�. 19e6 <br /> $ervice Address �u d� �� �' Utility Account No. <br /> g 6035 C� Ild. �0.00 <br /> Billin Address Permit Fee _ <br /> City,SUte, Zip �=+tt. 11A 9830] �nnection Charge�s) ��t�9 <br /> Owner (Mortgagor) JO4° � �� MQIl� Total Fee � ���� <br /> Bflling Name o� <br /> Connaction By �►-1 Ooalswtots. ino. <br /> . <br /> 1�107 - 3rd J►w B� Ewr�tt 9BOlZ r . ; % <br /> Addresa Signed -.-�. i <br /> cu�tomer <br /> PIIOIIQ 7�7-�1 <br /> DESCRIPTION: Sewer District � j <br /> Lot L Block Monthly Sewer Service <br /> Plet raledw 1MLqAta <br /> Unplatted Description Monthly Sewer Constr. <br /> Typs Permit: � �toe Trunk <br /> Laterai <br /> liamerkr S �^ <br /> Abutting Lot Line <br /> �Sp � 1 � :� O "t N, S, E, W ft. <br /> NS e� � � � <br /> o� <br /> c� � �r�neo �. �+nnr. <br /> Ne�J PProvedBy c��re�o��.., <br /> � � Il.rp.c.c s. Mot.oa <br /> C LL 1�BOOi24b666 48•HOURS Issued By <br /> PRIOR TO DIOOINO <br /> CALL269�811FORINSPECTION <br /> Inspectio;� BY-- <br /> Datelnspected <br /> SEE SKETCH ATTACNED NO. 26004 <br /> INSPECTION <br />