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CHART N4. <br /> everett <br /> � ,i".�/; io c.✓,9ir�i.uc /2/y/97 <br /> 1 <br /> City of Everett <br /> I <br /> Sew�r �1pp0ication and Per�rifi <br /> N0. G�t�.Z4 DATE _ .n..,. �n, �ca�r <br /> Service Address 2518 Viwcaat Ava. Utility Account No. <br /> BillingAddress_ 7.003 t:oodlavn PermitFee '�n_on _ <br /> City,State, 2ip ��tt. KA 98203 Cennection Charge(s) <br /> Owner (Mortgagor) a– Oo+utzuction Ou. Total Fee�O o0 <br /> Billing Name Sane � ��1 tttility Pee oFd. 1171-85 <br /> ratar 2N.00 <br /> Connection By � <br /> Address � . Signed ' / _ <br /> Cusiomer <br /> Phone 252-6723 <br /> DESCRIPTION: Sewer District w,.,a Tr <br /> Lot Q Block <br /> Monthly Sewer Service _ <br /> Plat <br /> Unplatted Description Monthly Sewer Constr. <br /> Trunk <br /> Type Permit: <br /> Lateral <br /> Remarks: <br /> AbuttinN LSotE���5l10/k;7 4:3�r4 (N,�ik1N564? �'l:tt <br /> t. <br /> itQ�i&''jb <br /> F�DCi 4549.� <br /> _ fM.[q3 s65.1M) <br /> Hf.CH Sq6.5Q <br /> Approved By <br /> �i{y. �pineer��J.� <br /> F 11 <br /> IMPORTANT! lifi'.PoN C�O.fY.1 <br /> Issued By r,�ry�,�+„`� <br /> CALL 1-BOOA24•555548�HOURS <br /> PRIOR TO�IGGING Fl��}f'"�� �40(1'lh7 <br /> iN�(NJ�G�::4/1 <br /> CALL 2595817 FOR INSPECTION �'E���` ,/�� <br /> Inspection By � ^f„ ';}j.�� I� <br /> Date Inspected �'1�— g7 <br /> SEE SKETCH ATTACIIED N0. Lv�Z� <br /> I f��SPEC"il fJ�'�: <br />