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i <br /> CHART NO. <br /> everett 1J �/ <br /> ��-f 'LD uCC�.��� 7-1�^U'�� <br /> e � <br /> City of Everett <br /> Sewer ApRlication and Permit <br /> No. 26535 DATE Pebru�sv 16 1988 <br /> Service Address�t,���` ^ Utility Account No. <br /> Billing Address Permit Fee . <br /> City,State, 2ip Connection Chargels) <br /> Owner (Mortgagor) Total Fee . <br /> Billing Name Special Otility Fea Ord. 1171–RS <br /> iaLer 179.00 <br /> Connection By�_ _ s�xar a71.0� <br /> 850.00 <br /> Address Signed — <br /> Customer <br /> Phone <br /> DESCRIPTION: Sewer District <br /> Lot a Block �� <br /> Monthly Sewer Service <br /> Plat <br /> Unplatted Description Monthly Sewer Constr. <br /> Trunk +�o eo <br /> Type Permit: l�,'l,i/Rt; S:i2Ptt UOOAW4lN�� �'iS:?. <br /> Lateral :4s o0 <br /> :tfA:A)YS'4Ed: <br /> Remarks: Abutting Lot Line���-�' z419.0i1 <br /> N S E WF1.f3ii g45.(N? ft. <br /> I _ Ji. . <br /> PLII Cii S•oo.,.0 <br /> Ci GFCH i3.��U <br /> !: `;itil'H 4i5,1.E;0' <br /> Approved By `'A '' rr¢Rd'h= r.rr. <br /> Ei� ekr <br /> 5EI.f:T: 43U.00 <br /> IMPORTANT! @N3Tli S'l:.'S.t� <br /> Issued By_�� A�����— <br /> CA LL 1�800-024-5555 48•HOU RS <br /> PRIOR TO DIGGING ����" <br /> U�1TI:R �E�l1.iJ0 <br /> CALL 259E811 POR INSPECTION UIF.CI' ;2Uui.f1G <br /> Inspection By <br /> Date I nspected ��� <br /> SEE SKETCH ATTACHED No. 26535 <br /> INSP[CTION <br />