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( C1iART N0. <br /> evereri T� �os'��^9 <br /> � �V �z-tb'9� <br /> ; <br /> �_ <br /> City of Everett =c � � � � � � :^` � �:� " � � u�' <br /> ci COCi �� �": � 6^S w4io[ t�-[c- � � <br /> ,�. �A � e: aT � �w C��!'J� � '�J t <br /> 5ewer Applicatiorr and P�rr�ait �; � " ' µ <br /> � �l �._] -� �i �iy(� !A'u7� :�� II <br /> r 'J .'�� "•��'' _l �') n � � �# 2rC�-i� +h'�r �f <br /> : �:u .� r '. .:] :�: u � � ^K C� +.. :-�� •-� L,'e � <br /> No. 26841 DATE Sey�tember i� i�aa <br /> Service Address �t+n �.......e�+,•.�_ Utility Account No. --- <br /> Billing Address asnc �w+h a� co Permit Fee 30 00 <br /> City, State, Zip rv.�r rr_, ssn �a�na Connection Chargels) 27o 00 <br /> Owner (Mortgagor) r�,.rer.= -�--�-�—_ „_.L,,,i Total Fee 30 00 _ <br /> ordinenca 1171-85: <br /> Billing Name �•«ar.az � �+ � water 179.00 <br /> eeve 471.00 <br /> Conne^.tion By j� 0. <br /> r l �. <br /> i <br /> Address Signed iY � <br /> �/ Customer <br /> / � <br /> Phone ]38-0144 <br /> DESCFI'PTION: Sewer District A A TT <br /> Lot 5 Block Nlonthly Sewer Service <br /> Plat— n..i..... r....� <br /> Unplatted Description_ Monthly Sewer Constr. <br /> Trunk ��n nn <br /> Type Permit: R� ��naction <br /> Laterel � <br /> � <br /> Remarks: _ Abutting Lot Line � <br /> — fV S E W ft. <br /> — " Approved By_ Armmn R_ '�'�77AT. i <br /> City Engineer � <br /> I M PO RTAIU?! II <br /> Issued By !1�*�n�+'ar c_ Mc�_ <br /> CAIL L300�A24�555:i 48-HOURS I <br /> FHIOP. TO DIGGING I <br /> CRLL 259�SU11 FOR IIJSPECTION , ',' ' i <br /> Inspection BY�� �� <br /> _ Datelnspected �� � �� — <br /> i <br /> SEE SKETCH ATTACHED N�• `�g�1' 1I <br /> I <br /> li,'f� ._ ,"ilGil <br />