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CIiART NO. <br /> evereq � <br /> i � �:�:,.T ce� C�c�t,-:�. 7-l$��43 i <br /> [��l 9 y I � <br /> .�'.�H �I .� , <br /> C <br /> a y cn Citv of Everett <br /> H aa ' I <br /> y zH <br /> � y� S�ew��r Applica�ion and Permit <br /> � H� <br /> [A H <br /> y �3 I <br /> � Ob1 26549 'i <br /> OHC ; N0. DATE Febzuar;f� 1oHP e <br /> HC?O I <br /> H" n �� Service Address � ��Q 1 r Yxr � � S*' Utility Account No. i <br /> � I <br /> ta" yz I BillingAddress '+ ne> > f�ov..*___F+l PermitFee ag, - I <br /> ty hi H , <br /> � Cy �' City, State, Zip nothn� 1� .r� cnp.21 Connectiun Charge(s) �_g�,� � <br /> � �� � Owner (Mortgagor) at�i n a„i nhnl f Total Fee 38.� Bg — � <br /> z Htn � Special Utility Foe Ord. 1171-GS � <br /> y ��' I BillingName �A�a Nater i��.eo <br /> � 3HNCI G71.��1 <br /> '� Connectfon By ++�r+�„ �a� __ _____ 650.00 i <br /> � Address�2�2n iorh n� �r __p�the.y�_ Signad �, <br /> , Customer I <br /> Phone AAS_9Afp _"_-- <br /> ! I <br /> �' DESCRIPTION: Sewer Dislrict IIond III i <br /> Lot 3 -- Block _ <br /> � Monthly Sewer Service <br /> � � i Plat sr u-n7 <br /> I Unplatted Description _ Monthly Sewer Constr. I <br /> � � � Trunk 330.00 �� <br /> �� i Type PermiL taev COanaction �i <br /> ! La[Cral �i.'� :'�:88S1�00An bi;ldiN?-';!1 Y:.:; ' <br /> � � Remarks: �,�.i;�:;;";, , <br /> �,�� Abutting Lot Line � , <br /> N S E WIa�ILf, i:;U.li"v ft. <br /> �� :i ! ::� ,.i. � <br /> � � �f�i l' R;10.00 �I <br /> .. � �� �.�i.4:1' r7�.�.fk] � <br /> i — il'i7 '., .,-C;tL�ut � <br /> � w.� �1' i <br /> Approved By J�Y;F.{2 b &. T1�FAL <br /> ��1 ; c S Enqinml r i.... � � ii <br /> I'Lt;:, 3�iS.ivt <br /> �MPORTANT! s�li •t::8 '.i i <br /> I Issued By :�us.v..Fiuuaod 'i <br /> - ' CALL1-EOn-n,�4-i55548�HOURS �''n��— .....;' i <br /> ( PRIORTODIGGING E :>fl�H ii�.�kl I <br /> ��,.,., i:'a.tw i <br /> , CALL259�0811 FOR INSPECTION I 1i95'l.`.iD ' I <br /> Inspection By ` �`� �" I <br /> � -- y/zS ' <br /> i _ Date Inspected • <br /> II SEE SKETCH ATTACHED N0. 26`h`�J II <br /> ' li•!SPi_C-I ICI�,j � <br />