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CHART NO. <br /> everett <br /> �%i:;T 7c C/�ci,�,�.;. ii- /�-p.�. <br /> � ' <br /> City of Everett := _ <br /> LL <br /> /'� <br /> .y <br /> S�dver Applacation and Rermii� �., � w �:� ;- __ <br /> =- � � -- = _ <br /> No. 25�86 DP.7E Nooembar 5. 198G -• � ._ - <br /> Service Address Utility Accoun� ido. — — <br /> --�-'�r,'-_ •_ _,� _ -- <br /> Riiling Address Same __ Permit Fee 30.�0 -- <br /> City,State, �ip L'vrrett [aA 9820a _ Connection Chargels)_ 330 00 <br /> Owner (Mortgagorl. - n Total Fee 30 0� i <br /> . u. : � �. St�C' �:�"� i <br /> Billing Name sane Utility Fee, Ordinaz.�ce 1171-85: $471.00 <br /> Connection By y�+-�cn,ic <br /> Address Signed_. <br /> Customer <br /> Phone 337-9155 (Christenaenl <br /> DESCPIPTION: Sewer District�,�— <br /> �, ,- <br /> l_ot 81ock Monthly Sewer Service <br /> Plat <br /> Unplatted Description Monthly Sewer �onstr. <br /> Trunk <br /> Type Permit: ��.,N r�,,,,.,� - <br /> Late�al <br /> Remarks: � t�{ H��„ �y� ,^,,,,,�b " '-� Abutting Lot Line <br /> N, S, E, W ft. <br /> ,.�;,. �.,���aa�-s6c.:v������`�co��. , � <br /> �=t�'z _ '� _ . . I <br /> i <br /> �Ei�3'3 a`�'Er� - <br /> � ,. .,;�, .-. „lF'r;Yi: li. T!'tl'L <br /> Approved By I <br /> Ciry Engineer j <br /> f_VCl'f.tt� iih `/Fj9Gl � <br /> IMPnRTANT! tsax,::+r::c E. t�r1��;;:' <br /> Issued By I <br /> CALL 1-806-424�5555 48-HOURS <br /> PRIOR TO DIGGING � <br /> CALL 259-6811 FOR INSPECTION ��� i <br /> Inspection By <br /> Date Inspected ��`� l� <br /> SEE SKET�H ATTACHEO N�• �Jo8� <br /> li!`:'�CliCii <br />