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;: <br /> , <br /> � <br /> ��� <br /> a � <br /> � CHART NU._ <br /> � � --- <br /> everett ., � <br /> +Qtl� � � _'r7i �n (�/r.;;,.., � i-72-6E I <br /> y e <br /> �� <br /> � e CityotEverett TO POSTING_-�-�� <br /> � I <br /> ��g I <br /> �y� ; Sewer Application and Permi* <br /> �N I <br /> �� NO. Z61tJ3 DATE --J�--., ,�.-�-"a�--- I <br /> �td� — — <br /> O tn Service Address_ ��+� Q � �ao 8d- Utility Account i:a. <br /> Billing Address <br /> Permit Fee '^ �a <br /> City,State, Zip <br /> * �x � d.,� Connection Chargeis) ��� �o I . <br /> r_ ��ra �_ Q� Total Fee 30.00 __. � <br /> Owner (Mortgagor) �� <br /> spoaial Utility i��, Ord. 1171-�35 <br /> Billing Name ° waNr 152•00 <br /> oewz 400.00 II <br /> Connection By - 552.00 � <br /> , i IAddress _ _ Signed <br /> c���o�, <br /> r�' Fhone � <br /> w � <br /> � DESCRIPTION: Sewer District P�d II I <br /> � Lot � _— Block Monthly Sewer Service I <br /> e� � P�et � <br /> � li Unplatted Description __ Monthly Sewer Constr. i <br /> I Trunk__ — � <br /> I - -- <br /> ``� Type Permit: �, „___ __. Lateral � <br /> Remarks� Abut[ing Lot Line <br /> �� � N• S� E� W --- ft. I <br /> � � I — <br /> 1—�t �r� :t.��'"1 ;:Il�iPtl Ui_aAd14'+�;^ t i � : ,,, <br /> L�� <br /> � — - ---- __— APProved BY <br /> K N'� ler <br /> � {1.�ii i:.n�.UU , <br /> �� � IMPORTANTI Issued By.�11za T����' u r3`w".�.�K) <br /> I CALL1�800d24-555548�HOURS ����� g��•�� � <br /> PRIORTODIGGING �� ��a�'�� y�'��� �i <br /> i '�1'� (..:II.IPI �. <br /> CALL 259A811 FOR INSPECTION j� � "• ,1 t � <br /> � Inspection By ' ' <br /> ---- — t � 1 �• il IMl �. <br /> _ __—_—___.._ __ . . .� , <br /> � Date Inspected <br /> � --_ — --- <br /> ------ ;�,���, ,�;� ��153 <br /> SEE SK[TCH ATTACHED �N�III' N09a1 <br /> I . . . . . . iian. tl:,�n.:dl <br /> I <br />