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! <br /> , <br /> CHARI N0._ ___ <br /> everett I <br /> �i��� � i' <br /> '0��H � City of Everett _ .r.e, � �;^� ;y =' = _. � ;;; rn POSTING ��Z i�_ ' <br /> .^�i Hs[n � ' n O�i �� v ,'ti "� I <br /> j� ;a 3 �. .; .n ..� "w.��s.' .: �.« �- ,; .� ;= <br /> H Z h+ � a. � _ i <br /> �` y� i Sevver Applitcati�►n a�ic��Pe..r.,�nit j <br /> `�'� y° 'I =_ � 5 � _ ` � � � � <br /> y �� 27$Oa_ -. � s :� � � _ .� � :� � a � : � <br /> �i ptn N0. `-' DATE y . TLly 7. i9cn — i <br /> �3 C7 <br /> O r� <br /> �-�+ �O �I Service Address_ Zz E. Icterclty n�s. U[ility Account No._ I <br /> ti� C <br /> y y[� '� gillingAddress_ 1G�E. tncarcity Ave. Permit Fee io_011___ — I <br /> t7 r~n y City,State, Zip_ �erett, HA_P?Z D6 Connection Charge�s) p88��__'30.U0 ,i, <br /> O <br /> �� �v� Owner (�1oi*gayori mn orcut! Total Fee 30.00 <br /> �'�� Utility I�evelopsent Fea orQ. 1171-e5 �' <br /> y �'y ' Bi�lin Namc Samn _____. vaecr 179.00 i <br /> y U Vi 9 <br /> '� BCNCz �71.00 ' <br /> ��, Ccnnection By_ �mo G50.00 ; <br /> � Address_ Saae Signed_ � — �I <br /> Customcr ', <br /> i Phone 355-9598 �' <br /> , <br /> . . I I <br /> �.�, ,�+'i DESCRIPTION: Sewer �Jistrict �g Cond III i <br /> Lat . _ aJock_ � <br /> Monthly Seveer Service <br /> �. . <,� I Plax --- -- I <br /> ' I Unplaited vescription_�_. _Monthiy Sewer Constr. I <br /> - — Trunk 33C.u0 _ , <br /> �i �e � l-ype Permit: v�,,._�atr�,�,:1 <br /> Lateral <br /> Remarks: ' <br /> �`"' O � . --.----- — Abutting Lot Line i <br /> � _�. ---------- -- N, S, E, W fL � <br /> _... - �-- — � <br /> � ,F� _ ------� --- <br /> - —�- -- APProved By ��'n'�T� C. HOUS�Etr <br /> C�ry En9ineer <br /> �r I I <br /> � �P".;:�fil'.4NT! Suay Haagen <br /> Issued 8y_ I <br /> CA�L 1809d24-555!i•i'�HOUNS � <br /> � � PHIOR TO DiGGli�tG � <br /> � CALL 259-II811 FOR lNSPEi'fION . � i '' <br /> i <br /> � -" 1 I <br /> ' — --- Inspection &i � L'��r : � ( , I <br /> - --------- --- Data li�spect�..'--'�` ' p � , <br /> � SEE SKETCH ATTACHED i10. 270�� <br /> � <br /> !:':;i'�i"i.,�,i,, , � <br /> i ; <br /> i <br />