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1 <br /> � � � <br /> v�z <br /> c � <br /> �H fis <br /> y� 3 <br /> �oH� <br /> �+tl H�tl CHART N6. _ . <br /> y��� everett ..�o �ST1 N� i <br /> o� o � � �o -3-yu <br /> � �g � <br /> �� n r5 <br /> 'J <br /> z H� City of Everett = � � �: � S 8 � � ; �� i? <br /> �,H -_;E _ .=� � � .;z r. � Q ;,� <br /> ` t � L: � G L. [`� •_ �l{Ft � <br /> HH :�. ,., :w ..: � » .: `� w w � <br /> g d� Sewer Application ar�c�Perim.i� , � _ � , <br /> �� � p � � :; � � ,� , � � y � - <br /> l� .� � ~ 1..� � y�.l U YL I <br /> H o� N0. Z767O DA7E '�h 7�17�0 � ` <br /> Service Address 19]8 Meivin avn Utility Account No..__ — <br /> Billing Address 125 - 155tih Permit Fee �p pp <br /> City,State, Zip Iy�wood w�. _� Connection Chargels)�+�,gq <br /> Owner (Mortgagor) � M 6 '" 1^v�st'mrnte Total Fee ,n n�_ _._ <br /> Billing Name Crdlaance 17171-BS i <br /> vater 179.00 � <br /> Connection By seyar 4Y1.00 � � <br /> ��1 Address Signed " i'" 65a QC" <br /> Cusmmer <br /> 1�� Phone �aa �eoa — <br /> � ' DESCRIPTION: Se�verDistnct <br /> ��' Lot�__ Block�-- _ <br /> Monthly Sewer Service_ <br /> Plat D��.h++r.r <br /> � � Unplatted Description __Monthl��Sewer Constr. <br /> � <br /> '�' 1'runk �8,9G — ' <br /> � Type Pennit: i <br /> ��' Lateral ,y�Q �9 <br /> '..' Remarks: <br /> — Abutting Lot Line <br /> �'` N, S, E, W ft. <br /> � — <br /> 1-' ARProved By .AAm tcauonn <br /> I Clry 6�g�.nen Ili <br /> � IMPORTANT! I <br /> iIssued By .T g,octQ,rel] <br /> CALL 1�800-024-5555 48�HOU RS � <br /> PRIOR TO DIGGING � <br /> I <br /> CALL259�8811(FORINSPECTION � �/ i, <br /> � � i <br /> Inspection By �`�"�`�� `". <br /> � <br /> Datelnspected � �-S` — � <br /> � SEE SKETCH ATTACHED N0. 27670 ; <br /> i <br /> I NSPGCTI OfV I <br />