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CHART N0. <br /> everett <br /> � :� `��1�� �� i�ST I�UC) <br /> a � o- Z� -8� <br /> t <br /> � „ <br /> City of Everett .� � k 3 � 4 � • � � � � � � � <br /> - ('J bC� ^•4 '^ 6� L L^l0 C1C ��r+ � <br /> ^' O i� M( . I�,� ,.) • � <br /> «. �. e+ r.: .a � .. �� q� .G ... <br /> J- u. <br /> �.1 -.� n � <br /> Sewer Applicatio� and Pgr'e�it _ _ _ �= �X <br /> ti a � :� <br /> e c � � � � J � 4i � � � '� �� '! � � L: <br /> 2��7�0 "' � � � � cWk' • � ?` r ;� *� � x3 � <br /> NO. DATE ����! �}, }9g0 _ <br /> IService Address�gK��w Mar-- Utility Account No. <br /> Billing Address_ }59� 5?.a! 9! 9S Permit Fee .� ��AO <br /> City,State, Zip M�tt, lq1 98203 Connection Cliarge�s) 790.00 <br /> Owner (Mortgagor�_ ����� ��� Total Fee 70.00 <br /> BillingName .� Ordlnanca 1171-BSr <br /> vabt ]24.00 <br /> Connection By eevrer 589.00 <br /> 813.00 <br /> Address Signed <br /> Custortxr <br /> Phone <br /> DESCRIPTfON: Sewer District� �� <br /> Lot. » Block � _ <br /> Plat Monthly Sewer Service <br /> Unplatted Description Monthly Sewer Constr. <br /> Type Permit: <br /> Trunk_ �7e.� <br /> Lateral ��o�AA <br /> Remarks: <br /> Abutting Lot Line <br /> N, S, E, W ft. <br /> � <br /> Approved By <br /> ity npineer <br /> Ih1PORTANTI <br /> Issued By �yry��E S Itetweg <br /> CALL 1�800-024•555548-HOURS <br /> PRIOR TO DIGGING <br /> CALL 259�6811 FOR INSPECTION � <br /> inspection By_c'�-a"� <br /> Date Inspected_ %� • Z -f5- I <br /> SEE SKETCH ATTACHED N0. 26946 <br /> I N;:'r'ECiIOiJ <br />