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CHART NO. <br /> everetl , J <br /> �'�,� �j� C�c.�%.,r �o/3rgP. <br /> e <br /> City of Everett <br /> Sewer Application and Permit <br /> NO. Lvo`�� DATE �� 12, 1987 <br /> Service Address 172G �gland Ava Utility Account No. <br /> Billing Address ■ 10021 — 63rd Pl H Permit Fee �0 � <br /> City, Siate, Zip �+ntt W�► 9820d _ Connection Chargels) 720.00 <br /> Owner (Mortgagor)_ M.H. NacMiilan Total Fee 30.00 <br /> Sp�cial Utility Fa�. Ord. L171-85: <br /> Billing Name 8� wat�r 179.00 <br /> sawer 471.00 <br /> Connection By 650.00 �'' <br /> i <br /> Address Signed c�:w�� � <br /> Phone ]53-9589 <br /> DESCRIPTION: Sewer District Isond II <br /> Lot 10.11,12 Block Monthly Sewer Service <br /> Plat {�ql�n saa� 1►8dition <br /> Unplatted Description Monthly Sewer Constr. <br /> Trunk <br /> Type Permit: !Iw Ccan�ctlon <br /> Lateral <br /> Remarks: Abutting Lot Line <br /> N S E W •}460dCO1d1'II�ET <br /> xwGri�;� <br /> SLWk?k' ":30.(NI <br /> t;IHi II 4i�0.4K� <br /> 1171'J aSSO.W <br /> Approved By � �=''�'�� <br /> City Engineer <br /> IMPORTANT! 03;f5/u'7 ]0�''lilri IX1Ui1q4h:� 4YKt <br /> Issued By tinrosr�k E llcL� <br /> CALL 1-800d24-5555 46•HOURS 'IiQL'U1'i'U10 <br /> PRIOR TO DIGGING F;�.(� A50�" `�f] <br /> CALL259�8811 FOR INSPECTION E�- '��— <br /> ..Qi1 <br /> Inspection By <br /> F' 9� /`��" <br /> Date Inspected `/- �{� j----- <br /> (iftt�Y�'J i:'�Q90 <br /> SEc SKETCH ATTACHED {�GQfiO�a�• <br /> INSPECiION t��1EF' tw(q).iW <br /> i� INITilA7'i <br />