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CHART N0. <br /> everetl <br /> � �. , / .G• ll�� . f; ,- <br /> ', <br /> � /: d 'i <br /> City of Everett <br /> Sewer Ap►plication cnd Permit <br /> NO. 268`�� DATE s�nc�tr� n, 7onn <br /> Service Address 270� fra�iatit Utility Account No._. <br /> Billing Address 1001 Dso�dpv �10 Perrnit Fee +e ee <br /> City,State, Zip, ��tt, 117� 98201 Connection Chargels)_ti� <br /> Owner (Mortgagor) 111w 8�Y �otal Fee._ 3p.^� <br /> dilling Name iir� �ilitp Dewl t Pw oedr;1171-SS <br /> rabr 1 � <br /> Connection By � �Q! � - <br /> . �/� <br /> Addreu �w Signed <br /> Cuslomer <br /> Phone ��-�S� <br /> DESCRIPTION: Sewer District v..r«ti--.. <br />' Lot ■ +�.� ��-�3 Block..�µ <br /> Plat hloom�e� �dd to lhr�tt Monthly Sewer Service _— <br /> 09/Q°/N8 A�31F41fril0I1N2�37 tlit <br /> Unpletted Description Monthly Sewer Constr. / <br /> IIfY1D?6H31 <br /> Typa Permit: � ����� Trunk ��c, �jp � <br /> — 1171-., t5'5_.00 <br /> Lateral �xtivy,�.n�n <br /> Rema►ks: WATL'k fb5[I.[10 <br /> Abutting Lat Linei100020635 <br /> N, S, E, WI�(xl l36.'..50 ft. <br /> i�ec �w.00 <br /> MEC71 4'�.Qn <br /> IS e�r't� +i.:,� <br /> F SF(71 !I.`i.0(I <br /> Approved By s ;��� <br /> �o�,ET.'LQ' I <br /> IMPORTANTI <br /> CALL 1AOOd24556fi48-HOURS (ssued By Qy�.._p��M — <br /> PRIOR TO DIGGING <br /> CALL 269�8811 FOR INSPEC710N � <br /> ��,L� <br /> Inspectic� By -'� ��� � <br /> Date Inspected �'"'"y"�� <br /> SEE SKETCH ATTACHED No. 26831 <br /> ir�,_,r�r_�� �����r: <br />