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� <br /> �--� --�. CHART NO.. <br /> � everett� <br /> � .., Jo"�:.T io [�f/.?Cii,Jd. <br /> � _+ �i�-/2 -� <br /> � N <br /> � � <br /> I City ot Everett � _ <br /> 0 <br /> I ti� <br /> ; S��n.rer Ap�lication and Perrnit � , � � � -� <br /> � � � � � = <br /> N�. 2 5 9 5 3 D ATE Novombe+- 5 1986 � � � <br /> � Service Address 2126 I.ake Hniahts Dx. Utility Account No. — <br /> ISilling Address Permit Fee .�..�0 <br /> I <br /> City, State, Zip Connection Charge(s) ��o no <br /> Owner (Mongagor�_ .�yy,�s„ Q tih±aa Tc:al Fee_ an_nn _ <br /> Billing Name ���. Special Utilil•y Fee, Or.d. 1171-85: S4a0.00 <br /> Connection By �+�t - T' <br /> Address _ Signed <br /> Customcr <br /> phone — — <br /> DESCFIPTION: Sewer District_ � �' TTT <br /> ILot___ Block — -- Monthly Sewer Service_ <br /> Plat—_ <br /> UnplaCted Utscription Monthly Sewer Constr. <br /> .___ � Trunk <br /> Type Permit: �;4w Co�iuection (Sllver Lnke LIC) <br /> Laceral <br /> i Remerks: <br /> Paiu p�_LID 719 Asx'oement. tdail}nvoice J ASuttinu Lot Line <br /> II EJ, 5, E, W _ft. <br /> �.�ez �i1p.��tirer conet_*+ ction (sicmed U�� <br /> Inropnrtv amer� before 11/21/86 to: <br /> Ce11.a Stmn� <br /> I - <br /> I '�iva�"�6�+II.TstI'Qtl�— APProved By Ti VRFn R R'NI'AT <br /> , � Gty Engineer <br /> I hbEZQtt r �'• nBZ�l <br /> IMPORTANT! <br /> Issued By�,:atynrnt-�.-=�^r•�^'� <br /> I CALL 7-800-424�5555 48�HOUf1S <br /> PRIOR TO DIGGING <br /> CALL 259-8677 FOR INSPECTION � <br /> � � <br /> � Inspectio� dC - - <br /> i _ __ Oate Inspected ��- �'"��' L,O, <br /> i SEE SKETCH ATTACHEG No. 25J53 <br /> � <br /> i��:... ,-_ :i����. <br />