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CHART NO. <br /> everen <br /> � w SPr'f" �i �ar��n� .rr/L�/ <br /> � <br /> City of Everett - � � ' � `m �' s� ��^, 4 � <br /> � , • �= �. -. ,.: � � ..- � .� <br /> a• r�, `�.� �� y�d L� �� «� «` :r G�] <br /> . �.� - ,H n M1 ,.w ,1 <br /> Sewer Applicctto�an��ermit= _ `' <br /> , . � � - � � � .� � � , <br /> .3 � � � � !" 3 � � . °5 . _� <br /> NO. Z r o4 `� DATE '� � � JulY 1'3�7990� J <br /> Service Address 10503 3ra i+ve. S� Utility Account No. <br /> Billing Address <br /> �t 2"s.124 2:itli Sv. Permit Fee 3D.U0 <br /> City, State, Zip �� � 9603G Connection Charge�s) �?ti��� <br /> Owner (Mortgagor) � ��BDn Total Fee 30.00 <br /> Utiiity Uevd]�ment '�ee �. 1171-85 <br /> Billing Name � _ witcr 22A.00 <br /> sra.�' S89.00 � <br /> Connection By � �'� J 3.00 <br /> Address �� Signed <br /> cusromer <br /> I Phone 48r3516 <br /> DESCRIPTION: Sewer District �� =I <br /> Lot_ Block Monthly Sewer Service <br /> Plat � <br /> Unplatted Description Monthly Sewer Constr. i <br /> Trunk 270.00 Y� <br /> Type Permit: �,. �y�� <br /> Lateral 450•00 I <br /> Remarks: Abutting Lot Line i <br /> N, S. E, W. ft. ' <br /> Approved By I <br /> Ciiy EnOineer <br /> IMPORTANT! Issued By S�y f'au`� i <br /> CALL 1�800-024•5555 48•HOURS j <br /> PRIOR TO DIGGING <br /> � <br /> CALL 2596871 FOR INSPECTION / /� <br /> C IInspection By I <br /> ,Uate I nspected �- " — <br /> SEE SKETCN ATTACHED No. 27845 <br /> IfJSPC_GTION <br /> I <br />