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If,NART N0.—_..—_. __ — <br /> everetl <br /> � ' <br /> � -1 � % ti-9 <br /> �°��� ., ���rl.,�� • `l. i <br /> s . <br /> City of Everett K � � = =; � a. � `. i <br /> ' ._ � — .e 'J - �r i <br /> y M� ' Sewer App��catis�n ar�d Perm�t , <br /> .o �x II n '` ' ` - _ j �~ `� <br /> J J '� .J —' _ I <br /> � �3t~i� li N0. G��O� ✓ DATE _�1Fr{� ' oao ' <br /> � �I Service Address G17 View/�d� n•ivn Utility Account No. <br /> ox0 <br /> � � H I'i 8illing Address�5_Q2_�_l5rh er_ Permit Fee_�0-.00— '�� <br /> �y � II I <br /> x Connection Char e I <br /> y� CitY,State, Zip �emtt, w� 9fl2N g (s) FlorChani , <br /> � � g I Owner (Mortgagor) na � �acxoe Total Fee 3q_nn I' <br /> �� � � Ordinance 1171-85 ' <br /> y H � � Billing Name R�e . water 224.00 ' <br /> �, '�x � avorr 589.00 I, <br /> t� r3 � Connection By - 813.00 '. <br /> �d y I Address Signed `=�""'C y��J�r i:LC, I <br /> Cy G � I Cuitomcr <br /> 3 [+7 ! <br /> �� Phane i <br /> HOf�i� � I <br /> /� III DESCRiPTION: SewerDistrict ---- <br /> �' Lot�,r..�,;,��5{ Block ' <br /> Monthly Sewer Service <br /> � Plat ++ ti+ v�w Mda ��, <br /> �� I Unplatted Description_ Monthly Sewer Constr. I <br /> �� �I � <br /> �p� � Trunk — �I <br /> �� Type Permit: New Nnnaction � <br /> � Lateral � <br /> ;I �� �1 Remarks: Abut[ing Lot Line I <br /> � N, 5, E, N1 --`t. � <br /> i <br /> I i <br /> �s� <br /> v!' � i <br /> i ' <br /> 'I Approved By �attml Civa7t'Olt� � <br /> =1_1 C�ty En9incer i <br /> IMPORTANT! Issued By �LB4�kwo11 ' <br /> CALL 1A00-024-555548�HOURS �� <br /> '`� ' II PRIOR TO DIGGING ' <br /> CALL 259-8811�FOR INSPECTION <br /> �� Inspection By_ ������ '�, <br /> i •, c%j <br /> Da[e Inspected <br /> ISEE SKETCH ATTACHEQ N0. 27703 <br /> If::.-; .. .-. i��.�.. <br />