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CHART NO. <br /> � evereri ���=� r ��t�s, ����� � <br /> �' --' j <br /> E''g'`f <br /> hc�H i <br /> �iay i <br /> c�H City of Everett � <br /> t-9� s� , <br /> I� <br /> � �� � Sewer Application and Permit <br /> [p H <br /> �io� ' r,o. 26738 DATE ---e�;f�2, _^—�— <br /> y Cy I • <br /> Q H�y <br /> � �o i Service Address_—.Gp4�ve.FLy.-Avenae-- -- Utility Account No. <br /> ay�,j I BillingAddress »>> =�s*�� �k --__--- Permit Fee , <br /> t" H y ' � <br /> gto City,State, Zip ---•� �•• arom _ Connection Chargels) <br /> N <br /> n dy i n c Ta..���r. ��- TOS31 FC8 <br /> � �r Owner (Mortgagor) .-�.--;����_ --3�'�— � <br /> py Orllcwince 17.71-0� <br /> y p y � Billing Name hater 5224.00 ' <br /> . Sewnr 509.00 <br /> ' Connection By $613.00 <br /> �� Address Signed__ <br /> cuftomer <br /> Phone-2.��,_�-�,Go_,�,3--- - - — --- <br /> I�� DESCR�PTION SewerDistrict — <br /> i �a� �; Block --- Monthly Sewer Service__._ � <br /> � � �I Plat tv,gi n t- Y�r .��itlon <br /> �_� I Unplatted Description _ __ _ Monihly Sewer ConsU. <br /> ' Trunk <br /> �"� ; I Type Permit: � , . . � uk , . �, <br /> HeM ConnorHoe� i.,� ::+.I�n In.�1 'I��'pi <br /> —....,. I Lateral i <br /> � — {v,.. i; : , I <br /> Remarks: Abutting Lot Line��-�'�� i='��-�'� � <br /> ��)� N, S. E. W i i f�: fS;i.iyl ft. <br /> �I :.'.i JI 6'ii.111 I <br /> _ I: '.1-ili 'l�s.fd1 I <br /> � ! , I�, II .. t',.LA7 I <br /> - � , i!.00 <br /> ' — -- Approved BY�TTI:�fi 'n rsvrpU. — �� <br /> �,� � � IOtY Enymenl- �-,u,{U� �i <br /> � � � . :-I,ii:'.'.�. '.It �. <br /> IMPORTANT! , �, <br /> Issued By sl " � * �•��� <br /> � CALL 1�i300-024�555548�HOURS I� ,I -'. 'Ct_.tAl <br /> I <br /> • i PftIOR TO DIGGING ".0 i ! ...,.,.;.Jr , <br /> CALL 259�8811 FOR INSPECTION ,��/�/� � <br /> . �/'�"is�� —J <br /> '�i Inspection By . <br /> I -- — - - — _ _ Date Inspe�:ted �- u'�'� � <br /> � No. 26733 <br /> I SEf_ SKETCH ATTACHED <br /> I I J <br />