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CHART NO. <br /> fvEfCt1 " ' /„ � ' .. �-,�l `I-- ���-F` <br /> � <br /> City of Everett <br /> Sewer Application and Permit <br /> No. 26142 DATE �1pr,+� 4 19s7 <br /> Service Address_ 2307 xeniiwort,h Flace Utility Account No. <br /> 3illinr, Address_ <br /> 601 Pirat National Pank Bidn. PermitFee 3� �� - <br /> City, State, Zip �o�tt WA QEf201 <br /> Connection Chargels) ax�mat <br /> Uwner (Mortgagor) Kallv R. Cezhert Total Fee 30 00 <br /> �ecial Dtility Fee, Ord. 1171-85: <br /> Billing Name Sa� Water only $224.OD��,- �f <br /> ` ��Co�nection By David L 9iaeloa j� <br /> Address ?�Z�� - 3 64th Ave NW SYanvood 90242 Signed c�s�om�� , <br /> Phone�2Q'7785 <br /> DESCRIPTION: <br /> Sewer District Bond II <br /> � Lot i? Block Monthly Sewer Service <br /> Pla't �nilvroYth Nills N5 <br /> Monthly Sewer CoNstr��'��' >�-�F?i G(A��il�:zslo ;k{:t <br /> Unplatted Description / <br /> Trunk k�'���7�;47 <br /> ` Tvae Permit: F,LU[i �l�i�i.`.irl <br /> -- Lateral 1'i-Gi; 'b10:i.{A� <br /> -- iYqi 959.50 <br /> Remarks: 1'LN CH 51'72.fi9 <br /> Abutting Lot LineC �,�{ ai.;p <br /> N S E w ft. <br /> t`.�,+cCFt�i�-- <br /> URt4!'�' e'�7.ik� <br /> Il000�!a�7i <br /> WR1F� r�.U.!HJ <br /> itlNi02�i4;: <br /> Approved By ' <br /> � '�Y �n�.9i�ec,i-�[h.L10 <br /> ilrl-v .- <br /> IMPORTANT! CII4L'I; '.1U�%. •" <br /> Issued By u�,�..�-R�-b — <br /> CALL 1�800�424-5555 48•HOURS <br /> PRIOR TO DIGGING � <br /> CALL 259-8811 FOR INSPECTtON � <br /> Inspection By <br /> Date Inspected �-�-8 <br /> — No. 26142 <br /> SEE SKETCH ATTACHED <br /> li It.'PGCiIOfd <br />