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CHART NO. <br /> everetl <br /> � - SEi; To Cil9i'r.�-�� <br /> � ',3'/5/t�7 <br /> �gS <br /> city or everett � � 8 8 �Q� 4 8 � 3� 3 So !� <br /> } ra �� �� C•1 M .r �[�j Y) ry �O � <br /> � � i�. .n .w w ' N Y^ -. <br /> Sewer Application ond P�r.r�it S � �� x <br /> t1T = C f{G� �t [�, <br /> , � � uUSc�l %ic � � 3 [ . Ll � <br /> 2612V � � L� S� � iu W �dYc� .; '� � � <br /> NO. DATE _�p,��e� <br /> Service Address 2618 Vieweres� rva Utility Account No. <br /> Billing Address . <br /> 1003 Moodla�m Permit Fee 30.00 <br /> City,State, Zip ��tt N11 98203 Connection Charge(s) � ���t <br /> Owner (Mortgagor) �► ����ion �°• Total Fee 30.00 <br /> Billing Name Sa�e Specisl Uti2lty, Ord. 1171-85. watar oa17 SZ2�. <br /> Connection By <br /> Address Signed <br /> Cusmmer <br /> Phone 252-471� <br /> DESCRIPTION: Sewer pistrict HOi1d II — <br /> Lot ; Block Monthly Sewer Service <br /> Plat_,va4�rorel� Hf��� *5 <br /> Unplatted Description Monthly Sewer Constr. <br /> Trunk _ <br /> Type Permit: � p��etion <br /> -- Lateral _ <br /> Remarks: <br /> Abutting Lot Line <br /> N g E� yy ft. <br /> Approved By_�L!'nrA R 1'E�11L <br /> C�t1'Enpmee• <br /> IMPORTANTI <br /> Issued By Haraaret � Mcl.sod <br /> CALL t-S00-024-5555 46•HOURS <br /> PRIOR TO DIGGING <br /> 1 CALL 259-8617 FOR INSPECTION �j���/ <br /> Inspection By,�/ '""'aP��`'�� <br /> Datelnspr.cted ���f' <br /> SEE SKETCIi ATTACHED Np, 261ZO <br /> I <br /> INSPGCTic_�iJ <br />