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, <br /> � CHART NU. <br /> everett <br /> ��.,,f �s, ��'�<•./�.'� y�v�se <br /> e � <br /> City of Cverett <br /> Sewer �►pplicotion and �ermit <br /> N0. L0454 pATE _ �__ ,e <br /> -::�.���---�98;— <br /> ServiceA;ldress �aa� c_ r_�.,, n,. , Ut�lityAccountNo. <br /> Billing Address �0'+1 i 61�a Ds Permit Fee z0 00 <br /> City,State, Zip r_�.��rt , i(� 98�03— ConnectionCharge(s)_ �}0.88 <br /> Owner (Mortgagor) �...... c..w�.�,�„�, Total Fee_�0 BB <br /> I Billing Name j�i�� Spacial Utiltiy Peo Ord. 1171-85 <br /> watar 179.00 <br /> Connection By S�a� sedar 471.00 <br /> 650.00 <br /> Address. c�,.e Signed ' <br /> Customer <br /> Phone asa-a��a <br /> DES�RIPTION: Sewer District Bond i <br /> Lot Block <br /> Plat Monthly Sewer Service <br /> Unplatted Description_ Monthly Sewer Constr. <br /> Trunk <br /> Type Permit: , — <br /> h�tiea <br /> Lateral <br /> Remarks: <br /> Abutting Lot Line <br /> N, S, E, W ft. <br /> ti�.:U�li7 :ii=.,�i5i !hhk��8(1S� ►t-,�t <br /> i:UL1i:1i`:f_i,';: <br /> I t1.Gti :��"l.Ckl — <br /> App�OVCd By AI.K�RSD R;:i'�ZIASAL <br /> 1$.�{Engincer:�,.�H) <br /> IMPORTANT! FiJ! UI !.�i4,7: <br /> Issued By SuR-V���I1aua,atY',fi <br /> CALL1$00-024•555548-HOURS E ;ir.C:l s1S.L1U <br /> PRIOR TO DIGGING Pfi;'+P; :':'O,ti�l <br /> CALL 259�8811 FOP. INSPECTION � � {��� , <br /> i ,f ' E`?U.(��l <br /> Inspectian By <br /> `�l. F � [ti' <br /> Date Inspected . <br />� � ,;� �, .:��ea54 <br /> SEESKETCHATTACHED , �,; ; ; NO;_� ;,,,, <br /> I <br /> IP.I:PECTION <br />