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� <br />evereCt I <br />(�,�'ri i <br />�� <br />City of Everett <br />Engineering & Community Services <br />S��re� �,���sc�t�s��t a�d ����o� <br />CHART N <br />No. 219 6 2 DATE �/��/'�7 � <br />Service Address ��`�Z //Z ���yr Utility Accoun[ No. <br />Billing Address Sl�rn r <br />Permit Fee <br />Z �' <br />City, State, Zip IL �r-�[ � n' C.� A }� ZO � Connection Charge(s), <br />7 <br />Owner (Mortgagor) l��lLlor`( �Fv,.�in�F Total Fee 2• <br />Billing Narrie <br />Connection <br />Address Z� �� �—ur•� r�.�;t] <br />Phone �1�_�rr� <br />S° <br />t <br />��J ^ -- <br />Signed ��� i:y �� G��llf—�1��� <br />Customcr <br />� —. <br />;'y <br />DESGRIpTION: , Sewer District � <br />Lot �l `i :Z 6toch ��� � — <br />Plat C v�: �� F- �7 (�i J. � b:y Monthly Sewer S^rvice _ <br />Unplatted Description _ Monthly Sewer Constr. <br />Trunk � <br />Lateral <br />Abutting Lot Line <br />N, S, E, W — <br />Approved By <br />Ciry Engineer <br />Issued <br />Inspection <br />Date Inspecred <br />� n� OC'� <br />SEE ;'CETCH ATTACHED N0. � 1 .- _ �_ <br />�_�.��_,____.._����_—_� INSPFCTION <br />; __-...__..__..._.______ � <br />� � <br />...r..._.-........_..�,-"---�-- `-`--- - ------- - i_....--.... � _._ _. . <br />