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CHART <br />everefl <br />� <br />City of Everett <br />Sewer Application and Permit <br />N0. G637T DATE eeteb�i3, �997 ` <br />Service Address s�� ■t,ctr�+• D� Utility Account Na. <br />Billing Address ei-- <br />City, State, Zip ���L, .n oa�n+ <br />Owner IMortgagor) tat������„�tt�s <br />Billing Name p� <br />��v os� �^�_ <br />i-i�� <br />Permit Fee 38,�.+ <br />Connection Charge(s) _ <br />Total F <br />Sp�ciai 0liltiy l�e� Urd. 1171-85 <br />wLst 224.00 <br />� � .. �.., �. �...�,�. <br />Address 61Z6 17StA st �i sws�ts 9��ilt <br />Prone y� �� <br />DESCRIPTION: <br />Signed <br />a:m�� <br />Sewer District <br />Lot�- Block <br />Plat ++�.a. cr.n.e. Monthly Sewer Service <br />Unplatted Description Monthly Sewer Constr. <br />Permit: <br />Remarks: <br />IMPORTANT! <br />CALL 1-800-424•5555 48•HOURS <br />PRIOR TO DIGGING <br />CALL 2595811 FOR INSPECTION <br />SEE SKETCH ATTACHED <br />Trunk <br />lU/13/87 2:4c^FM WO�ilf75.�i�t #ti� <br />Lateral � <br />tK)U026,i"i l <br />Abutting Lot Line`��R 930•(A7 <br />N, g� E� yy1171-5 45�4.00 ft. <br />IItN.IW5S94 <br />tJAIER 96Q.00 <br />ISOOUlitii69 <br />L�I.DG 3b6b.5U <br />Approved By �D 1b g�� <br />r e�o���r 1. <br />r.. s�cH �s.su <br />Issued By� ,_.�����''.� <br />CHIiL'}: itl?,4.W <br />Inspection By ��� <br />Date I nspected �/�U <br />No. 2637? <br />INSP6CT10� <br />