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evereft� I CHART NO. <br /> � C <br /> G <br /> t <br /> t <br /> City of Eve�ett � <br /> � v; � `�+, �`' �-^`' 'v - <br /> '� � a � � � ;; c= <br /> Sewer licotion and " . M �' � �, "; � <br /> APP PerQni� _ _ � -� % � <br /> .. � .`. 4� .., c.i� t� „ <br /> � �� �� � S .—�. i� <br /> 25T80 � � � � � � . ' � � � � = � <br /> N0. DATE �r �� � <br /> Service Address m17 Iq�dt�r 71w Utility Account No. <br /> Billing Address 6x - ueth 8t sM permit Fee_ z an <br /> City,State, 2ip �w�tt. M1► l�t0� Connection Charge�s) <br /> Owner (Mortgagor) $� _� Total Fee _ z_Ro <br /> Silling Name � �='141, Iao. <br /> Connection By s�+r+ a Oo. <br /> Address 6K - 129tb St P�I Signed <br /> cu:tome. <br /> Phone 3�7-1U� <br /> DESCRIPTION: <br /> Sewer District <br /> Lot 5.6,7 Block 71! <br /> Plat e�' �y�� Di� H Monthly Sewer Service <br /> Unplatted Description Monthly Sewer Constr. <br /> Type Permit: Cop o!! Trunk <br /> Lateral <br /> Remarks: <br /> / Abutting Lot Line <br /> a n e�t.o., i� < Ps�,-� N, S, F, bV f[. <br /> �•I r ,.c�� i-i o�,, c.o ,�/e� <br /> i <br /> /-t l L �� xLFR6D R. TfeAL <br /> Approved By <br /> City Enpmeer <br /> IMPORTANTI <br /> CALL 1-BOOd24-555548•HOURS Issued Bv !1�='aarit 6 11aL�od <br /> PRIOR TO DIGGING <br /> CAL�259�6811 FOR INSPECTION <br /> Inspection By <br /> Date Inspected <br /> SEE SKETCH ATTACHED Np, Z57HO <br /> INSPECTION <br />