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I C��AHT N0. <br /> everet4 -- <br /> � - �E,�,- r i�;..r., �. irar-dE <br /> I <br /> City of Everett - J <br /> Sewrer �4ppAi�cation �and P�rmit r a � � f- <br /> _� . ,� � � � <br /> � . � .� � .._ .�. <br /> 25904 _' �l w - � = <br /> � � �, .:. :- ^ <br /> � NO. DATE �ctober Y5, 19e6 � <br /> IService Address- t]p t :v; i;.-,i �< �.r Utility Acr,ount No. <br /> . . <br /> Billing Address__ g� Perrnit Fee 3Q.00 <br /> City,State, Zip ns *�r�8204 Connection Charge�s) 330.00 <br /> � Owner (R�ortgagor) n�,.�•� n_ i :�.,� Total Fee 30.00 <br /> Billing Name e�.,e orcli.nance 1171-Q5: $400.00 <br /> Connection By <br /> Address Signed <br /> Custamcr — <br /> Phone �2'12a2 days 337—�t326 home <br /> DESCRIPTION: Sewer Cistrict_��r� � � <br /> �ot Block _ <br /> Flat Monihly Sewer Service <br /> Unplatted Description _ Monthly Sewer Constr. <br /> Type Permit: Trunk _ <br /> _ lJC�w �.-�:'NI.G::i:ll�il <br /> Lateral <br /> Remarks: F'aiil :rv Lii) 7a:' A��:ca:r„e;,t.. .;;ii1 <br /> j Abutting Lat Line <br /> _ :r.vorcc for si��c �ever ccn;tri�ction (s: nr:d i;y N, S, E, W _ ft, <br /> L�n:;� nin�ertv C4fv?T� nr�f:11C' 11/�:./:., to: <br /> Ge.lia Strona <br /> .7<ijJ (:B�icI' c•. HLfi�;:L `�. Tri�;l!- <br /> Approved By <br /> E.Vi:i'Ctt� wA i3;Ul Qry Engmeer <br /> IMPOR7ANT! i'2_- ,a:'eC i . .<;.L:�..�. <br /> CALL 1�800-024-555548�HOURS Issued By � <br /> PRIOR TO DIGGING <br /> � CALL 259-8811 FOR INSFECTION // <br /> I _ Inspeclion 8 �/Xa�!/ <br /> / <br /> ---- _ Date Inspected � � ��0 � ��v <br /> SEE SKETCH ATTACHED Na. ^c5904 <br /> I��:S.,'i=L'�lC>1 <br />