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CHART N0. <br /> everetl <br /> e `,..,. .� ,.� r;•. ` <br /> � <br /> � <br /> City uf Everett � � �y � � �+ $ � � a ca 4 <br /> �� �-. n o o r� � <br /> � � � � «• a nFi .-. uai �f•� 3 <br /> N n w� �er �► i`� :� h 4� ..r <br /> Sewer Application �and Per��ai� � � � M� p ' <br /> ; � � � � <br /> .'� <br /> 26455 \ `' � � � � � �'� � � J � <br /> � �S5sJ � ,_�J , �./ J <br /> rJ SC:� �.� 'G � '� �� :s tr ^ � � _z4l _l <br /> NO. DATE +r..avpe= 70. 19Y7 <br /> Service Address 5121 fwiwr �. �w Utility Accow�t No. <br /> Billi�g Address 5121 s�avir iw_ Permit Fee_. 70.00 <br /> City,State, 2ip 121]7 - llthsc. r 1, Connection Charge�s) ��p,pp <br /> Owner (Mortgagor) 1�+r�tt. tu 9Y201 3�3-]191 Total Fee �0.00 <br /> Billing Name a�■ ��4_12V .�1��_ �etai Oli11t7 M�, ord. 1171-tSi <br /> v�az 72�.00 <br /> Connection By � taLoi aawt 5�9.00 <br /> 91�.00 <br /> Address l+s s Ii1i f!. � �• 4�2�6 Signed <br /> Customer <br /> �fOf1E ��1—t21S <br /> DESCRIPTION: Sewer District ��� <br /> Lot � B��k— � Monthly Sewer Service_ <br /> Plat_ �r��j -- <br /> Unplatted Description �����! !� ���� Monthly Sewer Constr. <br /> Typa Permit: Trunk <br /> II��r6wMCl�-- <br /> Lateral <br /> Remarks: <br /> Abutting Lot Line <br /> N, S, E, W ft. <br /> � <br /> I APProved By <br /> i y nqinea <br /> INPORTANTt <br /> CALL 1SOOd24•555548-HOURS �ssued By �LT_ <br /> PRIOR TO DIGGING <br /> CALL 259-8811 POR INSPEC710N r� y�_ <br /> Inspection By � <br /> Date Inspected ���'�� _ <br /> SEE SKETCH ATTACHED NO 26455 <br /> Ii��SPECTION <br />