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CHG.RT NO. <br /> i everetl <,c:n�; �o i�rrl N�o I <br /> e � ��ZS%� � <br /> City of Everett � � � � '� -' 'a -, b � � <br /> '�' " � " � � ? �:_{ o, ; <br /> � �'�� '� �` �� � :� � a .�S <br /> C " w :n r. � i <br /> +� Y M N <br /> Sewer Applica#io�i an�P�rr�iit : ' ' <br /> - , _ � S � <;� s: � <br /> � � � _ _„9 `�F, � � � � , � <br /> � <br /> 27295 \ � � � ay - � � � � � � I <br /> N0. '� DATE �' -3 /- - � <br /> Service Address 1COd ACD Pala �1ve, Utility Account No. <br /> BillingAddress ���0 86th St. � y�y PermitFee '�n_r� <br /> City, State, Zip �wer�tt, xA 98Z08 Conneciion Charge�s) 604 OS I <br /> Owner (Mortgagor) �Y �az=tad Total Fee 30 00 i <br /> Billing Name ��� Otillty D�wlopoent Tae Ord. 1171-85 � <br /> vatar 261.00 I <br /> � Connection By S+re Kver G88_00 <br /> � 949.00 ��-�� <br /> Address S� Signed � <br /> siomer <br /> Phone ]37-465C <br /> i <br /> DESCRIPTION: Sewer District _ ya� � '� <br /> Lot Block I <br /> � P�at Monthly Sewer Service <br /> jUn latted Descri tion <br /> I P P Mon[hly Sewer Constr. i <br /> 1 <br /> Type Permit: Trunk_ �}e�� � <br /> I — I <br /> Lateral ��3 �7 I <br /> Remarks: <br /> ' Abutting Lot Line i <br /> I N, S, E, W 75.G' ft. <br /> I <br /> I � <br /> � <br /> � <br /> Approved By <br /> � <br /> ��r �o,��H � <br /> � IMPORTANTI <br /> CALL 1�800-024-5555 48•HOURS Issued By <br /> PRIOR TO DIGGING <br /> CALL2598817 FOH INSPECTION <br /> � Inspection By �^��"��� <br /> � <br /> Date 1 nspected 2 ' 2 �' 'y� I <br /> SEE SKETCH ATTACHED No. 27295 � <br /> I <br /> � I'Z.^:Pf_C'; ��"li � <br />