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CHART N0. <br /> I Pverett , , , ,- � <br /> , . / ,�, G�-�� '� i <br /> ' � I <br /> I i <br /> � City of Everett I <br /> i I <br /> � <br /> i Sewe;r p►pplication a�d Permi# ��� <br /> � N0. Gvv7n° DATE �Saytltx-2..+�-29sr3__ i <br /> I I <br /> �, Serv�ce Address 22��___�_.t-.Sc�z _ Utility Account No. I <br /> � BillingAddress�5:,,^ ���;;_g�-,-� PermitFee 30.00 _ I <br /> � i <br /> � City,State, Zip ra_,_,.wTqtt 9Sg38 Connection Charge�s) 720.00 AYEVRp <br /> I Owner (Mortgagor�;� rn Total Fee 30.On I <br /> iSPecial Utility Feo Ord. 1171-fl5 <br /> Billing Name�,.�� �,;,, water 179.00 i <br /> sewer 471.00 I <br /> Connection By � -- 650.00 <br /> �, Address_�,�M. Signed <br /> i ' Cuslomer <br /> �I Phone 2§2--2476 — I <br /> I <br /> � DESCRIPTION: Sewai District_ eond rr � <br /> iLot Block �,onthly Sewer Service I <br /> � Plat I <br /> �I Unplatted Description Mon[hly Sewer Constr. li <br /> � Trunk ��n nn <br /> I Type Permit: <br /> � Lateral it�,ddo�i;pn �=-.7F'ii OO;n:d+'It',t;•� i7'i��• � <br /> � <br /> IRemarks: Abutting Lot Line"��'�Ul`;'.�'ii <br /> N S E Wi'LIiG t.75J.UU ft. II <br /> I -- T".T(:FiJ'i?� <br /> t:lilil I��Sh 74 <br /> '�.;�ll[;-. : �),IJ1 <br /> � (IL`! ]1 i'i::ti,�F� <br /> � li'�i-'_� .._".iLi�i1 � <br /> Approved By T'* <br /> '�i1D' Mg�netr j <br /> I C}:I;.�' ,.:`,.�iI.UU � <br /> IMPORTANT. �{„_+:i, ; <br /> I I Issued By CLEiV NAI�[JHT'', �r�� I <br /> ' CALL 1-800-424-5555 48-HOURS � <br /> I PRIOR TO DIGGING <br /> iCALL 259-8811 FOR INSPECTION I <br /> Inspection By <br /> I _ Date Incpected�/�� I <br /> SEE SKtTCH ATTACHED , Na. 2b67Q� j <br /> . . �_. ��:_, ' <br /> i <br />