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CHART N0. �3 zS' `� , <br /> i <br /> everehl � <br /> i � y ��87 i '� <br /> ` " I � <br /> 1_ , i <br /> �� � � � <br /> � ,� � <br /> City of Everett '� '� 4 -� I <br /> I _ � - <br /> � `� '� V` !i, <br /> Sev�ner ,�4pRlic�tion and Perov�it �-� � � ��, .�, <br /> �1 � , _��, <br /> No. 2�4�1 DATE 2/2Y/86 � <br /> Servi�,:e Address 9917 Eiolly Drive Utilit� Account No. <br /> z?32 Herth Bxnafi+aY 30.00 i <br /> Billing Address Permit Fee � <br /> Bverett, Wa. 98201 Connection Charge(s) 4070.61 I <br /> City, State, Zip_ I <br /> 30.00 <br /> Owner (Mortgagor��lly nale nsa�rsa��s Total Fee <br /> i <br /> Billing Name <br /> C:onnection By ', <br /> Address Signed .• - � <br /> � Cus�amer � <br /> Rhone 334-067G <br /> I <br /> I <br /> DESCRIP7IQN: Sewer District -- � <br /> Lot Block Monthly Sewer Service --_ I <br /> Plat_ <br /> Unplatted Description Monthly Sewer Constr. <br /> — Trunk _ I <br /> Type P�:rmit: ticw Connection <br /> Lateral __ <br /> Remarks: li <br /> _ Abutting Lot Line 4�3 <br /> N, S, E(W� Tt. I <br /> � <br /> Appro�ed BY �' <br /> Crty Enp!nezr � <br /> IMPORTANT! i <br /> Issued By ' <br /> CALL t 300-024-5555 48-HOURS � <br /> PRIQR TO DIGGING ' <br /> CALL 259�8651 FOR INSPECTION � „_ <br /> r� <br /> Inspection By -- <br /> �Date Inspected_ � <br /> -- -r---- <br /> r; (; :' <br /> SEE SKETCH ATTACHED �`•�• '' " �� ��'�' <br /> INSPLCi"i` ' <br /> •.,_-�...�,��—�,-.. - ._, - - ----.�-�R_�...,�, „�.-a�� <br />