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.yS C 'Hi] <br />[�] [�J <br />p�x <br />9HC~i� <br />y <br />y H <br />�H� <br />"�� H 'i1 <br />U1 H <br />�O� <br />OH� <br />H�8 <br />G1. c] <br />9H� <br />r z <br />H y <br />g`� <br />H <br />��ti <br />r <br />� <br />HOtn <br />��•�^ A <br />��1 <br />everett <br />� <br />, City of Everett <br />I Sewer <br />Application and Permit <br />' N J G 6 Z 1 U DATE July 16, 19f17 _ <br />I� Service Address �001 Virginia ___ <br />'� Billing Address b� <br />'. City, State, Zip Evarett, NA 90201 <br />Owner (Mortgagor) �orye Shuh <br />'� Billing Name �° <br />' Connection 8Y Sa°° <br />� Address 3510 Sroadvey <br />Phone 258-4406 _ <br />II <br />I DESCRIPTION: <br />Lot � <•�/� '— Block <br />i, Plat _Eani. � �� t i a.+r <br />Unplatted Description <br />�� Type Permit: <br />I <br />Remarks: <br />'�t�.►1 li � - <br />i -- <br />�` I� IMPORTANTI I a <br />1� I CALL1-800�424-555548�HOURS <br />PRIOR t0 DIGGING <br />' CALL 259�8811 FOR INSPECTION <br />SEESKETCH A7TACHED <br />CHART N0. <br />`.- ,�' V � � "f c `C: i � I-�S <br />`' � L �> `' t <br />Utility Account No. <br />Permit Fee�� <br />Connection Chargel <br />Total Fee � �. <br />Signed <br />Sewer District <br />Monthly Sevrer Service_ <br />Monthly Sewer Cunstr. <br />Lateral <br />Abutting Lo[ Line <br />N, S, E, W <br />�I��i',,;:i ��`:ni'li ir;)..'h1�Soi711 <br />�i, . ii <br />. _�. :._ .3.5{1 <br />� Approved By u.rrtmn� Fv� s7ieAL <br />'GnVEngmecr ��.;�Il <br />1:1i�1.:1. =6.1Y1 <br />Issued By Susv Nauar_n <br />Inspection <br />Datelnsoe <br />I::` "rC`llO;d <br />No. 26276 <br />i:: <br />0 <br />