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everett <br />� <br />City of Everett <br />Sewar Application cnd Permit <br />CHART N0.— <br />, ,'r .7� (,:/�7:� i� �� �';r;s <br />— � <br />NO. Z�OH1 DATE _��Teh 3• t°a� L <br />Service Address en�n ++..... t Utility Account N <br />Billing Address ��+K .-6�,w�s niw — <br />City, State, Zip �• ' � °�n' °p�°� <br />Permit <br />30.00 <br />Connection Chargels) °�0°�t �_ �• ��171-85 e�c � <br />Owner (Mortgagor) '+. �a r •�rrinr Total <br />Billing Name <br />Connection By <br />Address <br />Phone <br />� ,Tp <br />Sp�clal Uiility Fae, Ordinaace 1171-85s <br />vater 22d.0o <br />/. <br />Signed � ' " <br />customer <br />DESCRIPTIUN: Sewer District ** <br />Lot e Block Monthly Sewer Service <br />Plat �r..�-= x.i�t' <br />Unplatted Description Monthly Sewer Constr. <br />Trunk_ <br />Typa Pcrmit: tlan Coa�rceion <br />Lateral <br />Remarks: <br />IMPORTANTI <br />CALL 1�00-024•5555 48•HOURS <br />PRIOR TO DIGGING <br />CALL 259�8811 FOR INSPECT�ON <br />SEE SKETCH ATTACHED <br />Abutting Lot Line <br />N, S, E, 1Mz�i�tiA� a•nrcua iu�nxk•an Rk6 <br />/ <br />47J�(l] r"iHG <br />�� s�,,sa,so <br />r�.r.G sas.uo <br />Approved By � Q '�� - <br />F'FI�� 1�i9�neer9.:SS. ln <br />B SlSH s1.50 <br />IssuedBy """`•. R3��� <br />D�i'Vw'1 Y�.L1U <br />4lxll)0`'.i> .� <br />lJAiF .00 <br />ii <br />Inspection By W <br />Date Inspected �(id'r �����,�g <br />NO. 2608�. <br />INSP�C i IOf� <br />