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��� <br />H <br />9H� <br />H�x <br />1i C] <br />"i1N�0 <br />Hy <br />�Zp <br />HC <br />O� <br />��g <br />t"y� <br />HH <br />8y <br />��y <br />HOv��i <br />1 <br />� <br />I everett <br />� <br />ICity of Everett <br />Sewer Application and Permit <br />CHART NO. <br />.; F,�: To C/fn,r..�� /�S/�S <br />N� 2613� DATE a�� 7 19F1 � <br />Service Address 5521 oc�en Ave _ Utility Account No. <br />Billing Address 324 - lOSth SN <br />City, State, Zip Everett trA 982oE <br />Owner (Mortgagor) ��=Y 3 c.riffith _ <br />Billing Name <br />Connection <br />Phone 348-48E1 <br />DESCRIPTION: <br />Lot �� Block <br />Plat __ <br />Unplatted Description_ -- <br />�' Type Permit: <br />� Remarks: <br />' <br />I <br />� <br />� ' <br />IMPORTANT! <br />CALL 1�800-424-5555 46•HOURS <br />PRIOR TO DIGGING <br />CALL 259�8871 FOR INSPECTION <br />SEE SKETCH ATTACHED <br />Permit Fee 30.00 <br />Cannection Charge(s) *=�� ex°°mt <br />Total Fee 30.00 <br />Special Utility Fee, OrE. 1171-85: <br />water only S224.00 <br />Slgned Customer <br />Sewer District n� <br />Monthly Sewer Service. <br />Monthly Sewer Constr. <br />Trunk <br />Lateral <br />Abutting Lot Line 4 <br />N 5 E W�,.w,.a.-- '�'—=-�" ..y,, j;��� <br />i <br />;;I nji1171.��11 <br />� i S ;;,^, <br />-�;� �t� <br />Approved Bv . <br />t� �K�.. ����� <br />;Clij.�. q.�.j0.1A1 <br />Issued BY giaaax�'F ����e� — <br />I.I4y�U:�)..K.G <br />i'yilll: i4(Xl.(M� <br />UN ' :.1 '.00 <br />Inspection By� <br />Date Inspected �-Z-f <br />No. 26136 <br />li.;:..1'r:,_�.� Cf.� <br />