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' i <br /> , <br /> � <br /> i <br /> ; <br /> ICHART N0. — <br /> Ieverett <br /> � Sg��� � pas�,nr7 <br /> 9/ ��4� <br /> City of Everett <br /> Sewer Application and Permi'r <br /> NO. Z���`� DATE �12.�000 <br /> Service Address laL viret�.+. Utility Account No. <br /> Billing Address p o � 2oe Permit Fee gp.�� <br /> City,State, Zip men.ii,_ya oeoai Connection Charge�s�_�;v <br /> Owner (Mortgagor) n c�n.tru�ci � Total Fee ____;�^ — <br /> Otilitp D�wlopmnt FN Ord. 1171-85 <br /> Billinq Name �� rater 179.00 <br /> a.r.r a7x.00 <br /> Connection By �-- 650.00 <br /> Address ^ Signed — <br /> Cusromer <br /> Pt�one l4s ���� I.1S/l:'�'t27 4:4:�'M OtHk'iq7871 kYC: <br /> ! <br /> DESCRIPTION: Sewer District , — <br /> Lot Block_ ���I; �'.:-0•� <br /> Monthly Sewer Servi� , — <br /> Plat M,4�q. <br /> Unplatted Description Monthly Sewer Con� ��}�, ��,� <br /> Trunk �'���``�� <br /> Type Permit: �M, ,,,,,,_a„ 1�.t� .'s55.U0 <br /> Laterel <br /> Remarks: k; 'E�r}� Zy,�;� <br /> _ Abutting Lot Line �_ �,�;�i �i5.(70 <br /> N, S, E, W r�t�an� x�n [vt ft. <br /> — CI}LG; i15c,Y.'.;(i <br /> i — — ' Approved By <br /> i y ngineer <br /> , IMPORTANTI <br /> Issued By <br /> CA LL 7-800�424•5555 48-HOU RS <br /> PRIOR TO DIGGING I <br /> CALL 259$611 FOR INSPECTION v�l`�.� <br /> Inspection By <br /> Datelnspected �"��j <br /> SEE SKETCH ATTACHED N�• 2��1� <br /> If`dSFECTIOU <br /> I <br /> I <br /> I <br /> � <br /> I <br />