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evcrett <br />� <br />City of Everett <br />Sewer Application and <br />NO. 27�77 DATE <br />Service Address 6sz1 0�.,�++� n. <br />Billing Address 2a�� pR�►� Str SE <br />City, State, Zip ¢.�r.t+, Yi 9p�^� <br />Owner (Mortgagor) a� ;.��L�a <br />Billing Name n.�. <br />Connection By Q--� <br />Address c.�. <br />Phone �7 •«� <br />DESCRIPTION: <br />Lot 5 _ Block 10 <br />Plat f�w�1y e��i. ni. � <br />Unplatted Description_ <br />Type Permit: <br />Remarks: <br />IMPORTANT! <br />CALL 1-800-024-5555 48•HOURS <br />PRiOR TO DIGGING <br />CALL259�811 FOR INSPECTION <br />SEE SKETCH ATTACHED <br />� <br />� <br />5�88��� <br />^� ' � V i l'i itf <br />C 1 O� � J +P� .-+ <br />�O ,w .r s. <br />. M� <br />z—:, <br />c� — '.��r � uuTS <br />��mw <br />CHART NO. <br />�iA/'� —�O t�SC-1 i�' <br />-g •2S•s°1 <br />�p �pr,�� <br />iI7 1'? P � � <br />C- vr �l U [J <br />� N� �d M (�^� <br />� <br />� � .�.. .� <br />� r� � <br />� 95�c s <br />a .= 4„ti <br />Utility Account No. <br />Permit <br />Connection Charge�s) 549.25 <br />Total Fee 10.00 <br />atility Ds�slop��ni r« Ord. 1171—es <br />wL�r 261.00 <br />�rer 680. 0 <br />949 �b0 / / <br />� �f <br />Siqned <br />Sewer District eond i <br />Monthly Sewer <br />Monthly Sewer Constr. <br />Trunk <br />Lateral <br />Abutting Lot Line <br />N, S, E, W 7g ft. <br />Approved By IU.PRaD R, a"HEAL <br />City En9ineer <br />Issued By 8�7�t4� <br />�/ r.L� — <br />Inspection By.,�-�"��� � <br />Date l nspected �� � �� <br />No. 271"17 <br />IN:�PEClION <br />