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I' <br /> CHART N0. <br /> evereri �' - � � 7 �'�- 3 / <br /> � >�,;�.�(' �.- C�Cc`��i���.,� -t- � <br /> e � <br /> City of Everett <br /> Sewer Application and Permit <br /> N0. Z7O73 DATE F�h�=� 1� ��o _ <br /> Service Address �naan i.t � � Utility Account No. — <br /> Billing Address �cnn �i�rw ci yT�� �+a +++Q Permit Fee 30.00 _ <br /> City, State, Zip m .� c. on�n _ Connection Chargels) �O� — <br /> Owner (Mortgagor) ^+. .r �. � Total Fee 30.00 _ <br /> Utility Developaent Fae Ord. 1171-85 <br /> Billing Name w►ter 179.00 <br /> snr�r 471.00 <br /> Connection By �. — � G50.00 <br /> / �, � <br /> Address e Signed /'`'J� — — <br /> cu:tomer <br /> 14ii4!f19 �"�i��f UOOriH�;lt. F9:;.�. <br /> Phone �75 3i31 ! <br /> D[SCRIPTION: Sewer District_T�744 — <br /> .l. 9.:J.�A <br /> Lot 19 B�ock Monthly Sewer Servi���`��7' — <br /> Plat n �y rr.� L `�:IAI� 4 ;O.l� <br /> Un latted Description Monthly Sewer Con�t}���� ;��� <br /> P l;OOCttlE.'(11 <br /> Trunk �4ilEl' �E�iU.40 _ <br /> Type Permit: �����'�t��y <br /> Lateral F�.fAi i4:t�,(NJ _ <br /> '.!�ti :.A�.IN <br /> Remarks: tiFCH r�•i�.Cn <br /> Abutting Lot Line �,� F� ��{ ;.,;��;�� <br /> N� S� E• W�=�t.Y. �... ft. <br /> h: =�;G1 ?.15.iJ0 <br /> L�I�:t4!'.' -:'U.DQ <br /> (7iI:C1.: 41 P`�1;.�5 <br /> Approved By 7V�RBD R. TRP�1L __ <br /> City Enpineer <br /> IMPORTANT! <br /> Issued By �uev Hauvae _ <br /> CALL 1�800-024-5555 48-HOURS <br /> PRIOR TO DIGGING <br /> CALL 259�8617 FOR INSPECTION / i j <br /> Inspection B �c� ���g�-- <br /> Date Inspected�T y/�� — <br /> SEE SKETCH ATTACHED N�• 2 1d73 � <br /> I N�P6Cl'IOi� � <br />