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� ' CHART NO. <br /> everen <br /> �:;.f � c�'>_•.r,:� y�ivjae <br /> e <br /> City of Everett <br /> Sewer Application and Permit <br /> N0. ��454 DATE <br /> Service Address Utility Account No. <br /> Permit Fee — <br /> Billing Address <br /> Connection Chargels) <br /> City,Siate, Zip <br /> Owner (Mortgagor)�a _ Total Fee <br /> Special Utiltiy Tea Ord. 1171-85 <br /> Billing Name rat�r 179.00 <br /> sarez 471.00 <br /> Connection By 650.00 .'' <br /> Address Signed <br /> Customer <br /> Phone�� <br /> Sewer District Boad I <br /> DESCRIPTION: <br /> Lot Block Monthly Sewer Service <br /> Plat <br /> Unplatted Description Monthly Sewer Constr. <br /> Trunk <br /> Type Permit: Lateral <br /> Remarks: Abutting Lot Line <br /> N, S, E, W ft. <br /> Eir�'t1IG'1 tnY:�^t�ti l�#N114 lC�k <br /> i <br /> if0001�i0iS <br /> F.�LDG #491.Cb <br /> Approved By A7�RED RL,S'ARfi�►L — <br /> I�{Enpineer�Qi.(� <br /> (YJ! L71 "i9.77. <br /> IMPORTANTI Issued By $u����ascx�aoFsn <br /> CP.LL1$00-024•555548-HOURS fi `ihLN 4l5•00 <br /> PRIOR TO DIGGING DfiUW`; `-''�'0.04 <br /> i k 4•Sf1 , <br /> CALL 259A817 FOR INSPECTION f f 'bSCl.L1 <br /> Inspectian By '� � <br /> ;}l• l C <br /> Datelnspected . <br /> �s;i—s ��«��454 <br /> SEE SKETCH ATTACHED CI�EI:I: NQi i'�. <br /> iINSPECTION <br />