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CHART N0 _ <br /> everett <br /> � -ra �asr-i� <br /> 5-aY�- 9O <br /> City of Everett <br /> Sewer Appli�s�tion and Perrn�it <br /> N0. ����� DATE Julv 12, 1989 <br /> Servics Address ��+� ...._,,...,_.,. ,., Utility Account No. <br /> Billing Address�o;�g��a.}_g���l�— Permit Fee 30.Q0 <br /> City, State, Zip 9&� Connection Charge�s) �Ya Nc�pc <br /> Uwner (Mortgagor) ��gsyf,}�e Total Fee 30.00 <br /> Utllity Developmant Fee Or�. 1171-85 <br /> Billing Name -- water 22A,00 <br /> l;onnection By_� <br /> Address �_ Signed �:,':;�', o�; n�x�ur.•�;;o —kt kk <br /> Customer�' <br /> Phone—�..,t k�lb)2;'.^�r: <br /> c�E1dF:E :?p.CC <br /> OESCRIPTION: Sewer District���_�'•;?�; — <br /> i_ot >> Block— IwU�k7ti:;i.ri <br /> Plat_.�;:;��+�..,..«� n� Month�y Sewe:Servirg���— -- <br /> .�IdLI.+. �! -fA.(Nl <br /> Ur�platted Description Monthu/ Sewer Con�t��,lf)t ;htl.(kl <br /> ;sinbi2::�`i�) <br /> - — Trunk— E;;?h :�F�S.�f <br /> Type Permit: t�ew Con�iction PLEC ti1(10.[4'J <br /> Lateral ��� . <br /> Remarks: PW f.li i7U.a� <br /> Abutting Lot Line (: ;�ti;�{ 31,�;d <br /> N, S, E, W G �.kP11 St�j_fifl tt. <br /> i:d{UIJY i�0.[IO <br /> clfLf.±; Yio4.^..[r; <br /> — Approved By ALPREn x. 271r1w <br /> Ciry Engineer <br /> IMPORTANT! <br /> Issued By� ^uuey [fauce:i <br /> CALL 1-800-424-5555 46-HOURS <br /> PRIOR TO DIGGING <br /> CALL 259-8811 FOR INSPECTION �, •� <br /> Inspection ���_ a''� <br /> __ __ Date Inspected 3� �- ��° <br /> SEE SKETCH ATTACHED No. 27242 <br /> � ����:,;��� <br /> l <br /> 1 � <br />