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CHART ,VO. <br /> everet9 <br /> � - � � : � %� , .�; � <br /> ` <br /> City oi Everett <br /> � <br /> Sewer �4.pplication and Permit <br /> N,Q. L5883 DATE �p.,,,mr,e,r ie iona i <br /> Service Address__ ;:2^ta L;vr�ir irnr= i�,�i vr, Utility Account No. <br /> i <br /> BillingAddress samP PermitFee ao_pa � <br /> City, Sfate, Zip Ec�erett WA 98209 Connection Chargels)��p n^ i <br /> � <br /> Owner (Mortgagor) �-L.er` '� -�t�� Total Fee -�n_n� I <br /> Billing Name 337-6¢52 _ Special Utility Pee £earor„971.pp , I <br /> fl;li'!s� .._, � ,.��i �p:nii,� , . . � <br /> Connection By <br /> �;i i;,J. ',:: . . � <br /> Address Signed ''�-W�-�' I <br /> Custd�ytq I l I <br /> Phone__ia�-Frtr.� 4 �17i -'.� <br /> �':C�iil ali.i!�) <br /> DESCRIPTION: Sewer District _..�._�� <br /> �i l.ot Block � <br /> Plat Monthly Sewer Service I <br /> Unplatted Description _ Monthly Sewer Constr. I <br /> Type Permit: , Trunk __ i <br /> p.n➢� Lur�^.'r_`i'7!. <br /> Lateral <br /> Remarks: ,r <br /> r�2d ' LID 7!Y (+��c:r.t9e;t. P18f1 i <br /> Abu[tiny Lot Line <br /> :r•or,ice: t'cr side saher r.onsCructiian (tfnncd t N, S, E, W_ _ic, <br /> 1.•:r.a2 nnxm_xty orrr,cr) Lefore iir_1/t�e: to: 4iI <br /> _1 <br /> (.r.lfa 5trcma � <br /> . 'r:f� i.-:�r,r St. ;.,: ... „ :. . <br /> - Approved By __ _ <br /> LV� CC't.� �Hl� :C[!)S CiryEngineer <br /> IMPORTANT! ",-„uc;r� t �, iic!.. <br /> Issued 3y <br /> CALL 1-800-424�5555�48-HOURS -------- <br /> PRIOfl TO DIGGING <br /> CALL 259-8811 FOR INSPECTION <br /> Inspection By� I <br /> Date I nspected �� Z���J✓ <br /> S�E SKETCH ATTACHED Np, G�J�H� <br /> I f_, ;��-^TI,'-;� <br />