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n � <br />� y <br />qyH <br />H�� <br />Ky � <br />yfAH <br />� Q � <br />OH <br />��g <br />�r � <br />t"y� <br />HH <br />gy <br />Qt7ti <br />��� <br />HOtn <br />� 1_ � <br />j L� �� <br />� <br />� <br />everetl <br />e <br />City of Everett <br />Sewer /Qpplication and Permit <br />CHART <br />5'E.�s- To CHs� r..v� l.:9 9c ,P. <br />/p - Z9- 9 ' <br />NO. Z6O68 DATE Fehruarv 2t tqa7 L_ <br />�..�I 5,: �:,+�r�ltl;l��ll b'I/c�y <br />Service Address n=� Utility Account No. <br />Billing Address 20�1 tiw 56th <br />City, State, 2ip �nttle Wn 98107 <br />Owner (Mortgagor) :�lelsen Sros. <br />Billing Name Nielscn Bzos — <br />Connection By t�evins�d Co�at <br />Permit Fee <br />Connection Chargels) �n9� 40 — <br />Total Fee <br />Special Otility Feee, Ord• 1171-85: <br />Fetail space wnter 175.d5 <br />sawer 470.45 <br />645.90 <br />$igned c�s�om�� <br />Sewer District <br />DESCRIPTION: <br />Lot — Block Manthly Sewer Service <br />Plat <br />Unplatted Description �� rtt �h^d Monthly Sewer Constr. <br />Type Permit: <br />Remarks: <br />IMPORTANTI <br />CqLL 1$OOd24-5555 48-HOU RS <br />PRIOR TO DIGGING <br />CALL 259�8811 FOR INSPECTION <br />SEE SKETCH ATTACHED <br />Lateral <br />Abutting L t line f� <br />N, �E, W — <br />�r.�,.,,:�"1 L,. �'H UikBi«i4lY'i ii'•� <br />i �i(a�t'i I`il <br />,.i!.�l ;liif>?.`J(1 <br />1'. �u'l 1 � i1.'.{? <br />Approved BY F . <br />'G[� hbincet' ' <br />iilllkl; <,Ur,Y <br />`��ffN;� '�ilt�)ii <br />Issued 8y � T�� <br />-- - -�.�. , e . .�i,"!, <br />t r� � �. �o��s.�;n <br />�+ . <br />c�;�,, . , <br />�, �"�`�� �� �r� I <br />Inspection By.1�=�"v-=w; yi��� �„� <br />L{h ��e/ ',�jf15.'0 <br />Datelnspected <br />No. 26068 <br />IhSP�CiION <br />i�'� <br />