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4 I;i,i' C _ <br /> CHART N0. <br /> evereri `' <br /> : . . . �- iz-� � �,�� <br /> ,, <br /> , <br /> .i.. u i, i <br /> City of Everett CAII 48 HOU RS <br /> � �� o o �o 0 0 �� �� � ; 3 BEFORE YOU DIG <br /> �ewer Appli�cation and Permit 1-80A-562-647� <br /> June 5 , 1981 <br /> No. 24001 DATE <br /> 2125 Lombard Utility Account No. <br /> Service Address <br /> Billing Address <br /> Permit Fee none _ <br /> City, State, Zip Connection Chargels) <br /> none <br /> pwner (Mortgagor) _ Total Fee — <br /> Billing Name — <br /> Connection By City of Everett <br /> Don Miller <br /> AdC�fBSS Signed Customer <br /> Phone <br /> DESCRIPTION: Sewer District <br /> Lot Block Monthly Sewer Service <br /> Plat — <br /> � Unplatted Description Monthly Sewer Constr. <br /> � 'irunk <br /> Type Permit' Repair <br /> --'�'_1 <br /> Lateral <br /> i <br /> i - I <br /> Remarks: _ ' Abutting Lot Line <br /> i_ i-.:� � ft. <br /> ���-, ri S. N, S, E, W <br /> > �= <br /> ", ��:, , ,,; .:.; � � <br /> � <br /> - . � �� • � <br /> � � , V ` , A. R. Theai <br /> _ I �TfaNS �+ �r'� Approved By <br /> � I r i � 9� ��� � f ii;MGj/�,� CitV En9ineer <br /> � � I <br /> ���cl �y'��c�_ '�,,, � <br /> ' ' �-� E. sond <br /> i Issi�ed By <br /> � �., <br /> Z '.TI i l)' i-ii l i�i(iii4 C�Y ��"�/�`( <br /> -- Inspection By � � � `—'-�� <br /> Date Inspected_ <br /> SEE SKETCH ATTACHED N�• G�.4O U 7 <br /> :'USTO'!,i_i? C�'P1" <br />