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CHART N0. <br /> everett � �,��� �/3 D <br /> ��'�� <br /> e �s8 <br /> City of Everett <br /> Sewer �4pplication and Permit <br /> N0. L�L�L DATE Jnlv �i 1%7 <br /> Service Address Utility Account No. <br /> Billing Address Permit Fee +�.�; — <br /> City, Stete, Zip Connection Chargels) <br /> Owner (Mortgagor) Total Fee . <br /> Sp�elwl UlilitY Pw Osd. 1171-85 <br /> Billing Name Ni�z 22�.00 <br /> Connection By � <br /> Address _ � Signed c�:�o�. <br /> Phone <br /> DESCRIPTfON: Sewer District �eea II <br /> Lot �� — Block — Monthly Sewer Service <br /> Plat <br /> Unplatted Description _Monthly Sewer Constr. <br /> Trunk <br /> Typs Permit: <br /> Lateral <br /> 07/31/8? 4s03ptf OOOA#l,407 RtRt <br /> Remarks: Abutting Lot Line � <br /> N S E W Ii00�18515 ft. <br /> r�.e,� ses.uo <br /> necN ssi.�w <br /> e s�+ s�.so <br /> €.� . ai .00*- <br /> Approved By �� <br />� FN]Q00`'.�18 <br /> IMPORTANTI TEfi f60.Q0 <br /> Issued By <br /> I.ALL 1�800-024-555548-HOUNS �� � � <br /> PRIOR TO DICGING �1?3- c .0� <br /> CALL 259�8811 FOR INSPECTION CFI 4 3.50 <br /> Inspxtion By <br /> Date Inspected '����� <br /> SEE SKETCH ATTACHED Np, L6Z.7Z <br /> INSP6CT10N <br /> � <br />