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CHART N0.— <br />everett <br />e <br />City of Everett <br />Sewer Application anci Permit <br />No. 26943 DATE I�f�r��.� 1e, �ona !� <br />Service Address �16 Wrbor Luie Utility Account No. <br />Billing Address ��07 SLt ! A�a. t� <br />City, SWte, Zip �ttl�, Lu1 98155 <br />Owner (Mortgagor) Ja�� i Lo�iw Aadoohu <br />Billing Name � <br />Co�nection By Sut�r uk° InMstor� <br />Address 9225 3Sth ll�e. � Mratt <br />Phone 3]8-1983 <br />'�b rosT n�b <br />10- 3 '`� <br />Permit Fee ��.00 <br />Connection Charge�s) � <br />Total Fee +^.00 <br />Util3ty D�lapeenE !N ord. 1171-85 <br />vaiu II2�.00 <br />Signed <br />Cuftomer <br />DESCRIPTION: Sewer District �-a =� - <br />L�t n Block 11/�1!(�3 10:311H4 itty.haN:5hi;1 tC'8! <br />Monthly Sewer Service . — <br />Plat µf��i32 <br />Unplatted Description Monthly Sewer Con���� y�p,�p <br />tll1Ll0.?o?��Z <br />Trunk ���.�� ;:;�� <br />fypa Permit: yw ,t„,•,•••���„ i171-5 QYl4.OQ <br />Remarks: <br />IMPORTAN�I <br />CALL 1500�424•5555 48•HOURS <br />PRIOR TO DIGGING <br />CALL 259-8811 FOR INSPECTION <br />SEE SKETCH ATTACHED <br />Lateral ;�y �„ s a, — <br />FA_f�ti i16�;4.54 <br />Abutting Lot LinefiP�: ;11U.iNl <br />N� g, E, yV td�i;ll ;.-.e..SO ft. <br />D :aiCli E �.`.i0 <br />f: SRCI I � f :i.[!0 <br />GI?IkIY f��U.00 <br />I.'i1L"l.'f{ 3:."`1.J.�r� <br />Approved By �� R' �' <br />City Engineer <br />Issued By sosY qanqe� <br />Inspection By � �� � <br />Date I nspected � �3 - �`� <br />INSP�CTION <br />No. 26943 <br />