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; <br /> i � <br /> � � <br /> ICHAR�i Na. <br /> � everett <br /> =,; •�'n�-' �c� x�s1,nq 7-IS -91 <br /> e �� <br /> .� <br /> , <br /> � <br /> City of Everett = � � Q � � � g g �' � � <br /> �' ra � � � i� �: � <br /> r�' � ..: Q; <br /> � n cv c- ^� ., r .+ � <br /> f.� .iAyy N M �a A tlt w �r N � , [ <br /> • [y :�J �t. <br /> Sewer Application and Perri�� rt � �yyy�,,, �� (y :; ;: _. <br /> � � � �� yI �r .rJ <br /> ..�+ [y� � �4' �/Z' " � i— 3 f`� tiyl <br /> � �3 .�. � � u � dk � � � � � � <br /> NO. Z7ZZO DATE —��,r.}5�iyg9-- . <br /> Service Address _ Uti�ity Account No.._ <br /> Billing Address <br /> Permit Fee 30.00 _— <br /> City,State, Zip <br /> Connection Charge�s)3�•00 <br /> pwner (Mortgagor)��3:��s . Total Fae 30.00 <br /> Dtility I��ele�prnt ��� Ord. 1171-85 <br /> Billing Name _ vwiwr 22�.00 <br /> ,�� ..+�.r; 509 ��. r <br /> Connection By_g -- --- ,' ,ei]�',% <br /> � l. ; ;:9i��' % . _ <br /> Signed ' <br /> Address - c�:�o�� <br /> Phone <br /> DESCRIPTION: Sewer District_ — <br /> Lot Block Monthly Sewer Scrvice <br /> Plat <br /> Unplatted Description Monthly Sewer Constr. <br /> Trunk 3�0_00 <br /> Type Permit: <br /> Lateral <br /> Remarks: Abutting Lot !ine <br /> N S E W_ ft. <br /> — Approved By <br /> �;ry E <br /> IMPORTHNTI <br /> Issued By <br /> CALL 7-800-024•5555 48•HOURS <br /> PRIOR TO DIGGING � 1��� � ' �- �c-//� <br /> �>> e (u : 'p« `r"T <br /> CALL 259�8817 FOR INSPECTIOPI (� a �,,.5� pC �s,.,�/ <br /> T'v,- <br /> Inspection By / — <br /> �Date I nsp��cted �Y��F Y� <br /> SEE SKETCH ATTACWED NO. `�L�O <br /> IINSP6CTION I <br />