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CHART N0. <br /> everetl <br /> ��„t � -�•�.:�f� �- is=s� <br /> e <br /> City of Everett <br /> Sewer Application and Permit <br /> Na. 26534 DAT[ htmsn� B 19eB _ <br /> Service Address Utility Account No. <br /> Billi�g Address <br /> Peimit Fee "�o � <br /> City,5tate, Zip - <br /> Connection Chargels) x-�na <br /> Owner (Mortgagor) Total Fee 1= � - <br /> Billing Name Spacial t7tillty l�a Ord. 1771-85 <br /> wtar 224.00 <br /> Connection By ��— <br /> Address Signed c�s�o�� � <br /> Phone_ <br /> DESCRIPTION: Sewer District a � T* -- <br /> Lot 9 Block Monthly Sewer Service --- <br /> Plat �+�Sb �ir Mi - <br /> Unplatted Description Monthly Sewer Constr. <br /> — Trunk n��� �. s,� •.�-n•++ �vxwe«mq teit <br /> Type Permit: p� ���on ' <br /> Lateral nnr�rut;��`(t <br /> WI1TR tG5{1.G:1 <br /> Remarks: Abutiing Lot LineliL'JIl:''s"�llD <br /> N, S, E, WI�I[Yi 4�rY tXl ft. <br /> I'1.813 Al�.UO <br /> �CN 4�i6.'.�(� <br /> L' `.,11:N t',.'.ai <br /> li .`7i�tiN 915.0!i <br /> Approved By �� � 4' <br /> �� <br /> SFUth s3Q.ik� <br /> INIPORTANT! Issued By � � -� � ��-�-- - <br /> CA LL 1�800�424-5555 48�H0 U RS ���' <br /> PRIOR TO DIGGING L�:'K e(x`ti:I�t� <br /> /.� <br /> CALL 259-8871 FOR INSPEC'fION <br /> Inspection By <br /> �-_ <br /> Date Inspected C - � -�� - <br /> �;o. 26534 <br /> SEE SKETCH ATTACHED <br /> i N::!�GC i I Gf� <br />