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CHART NO. <br /> everett <br /> � s:-N,- T�� �:,P�T„✓t, 9• ?v -s� <br /> City of Everott <br /> Sev�er Application and Permit <br /> NO. <br /> Z6165 DATE �, " '� 1OQ7 <br /> Service Address �� �'1� z � - Utility Account No. <br /> 1�..9 ���� Permit Fee <br /> Billing Address -- <br /> City,State, Zip ��� � `�021 Connection Chargels) <br /> Owner (Mortgagor) ��� �• Total Fec <br /> speclal Dtilily !N M� Ocd• 11T1-lS <br /> Billing Name �� Mt�r 179.00 <br /> a�wr 471.00 <br /> Connection By D.G. irad�old 650.00 <br /> Addreu SJ07 139th lw. s8 Snoh. Signed c�:�o�� <br /> Phone 568-9�42 <br /> Sewer nistrict �L�a <br /> DESCRIPTION: <br /> Lot 1��-- B�ock ..� Monthly Sewer Service <br /> Plat "' �`�"` ni�" - <br /> Unplatted Description Monthly Sewer Constr. <br /> Trunk <br /> Type Permit: <br /> Lateral — <br /> Remarks: Abutting Lot Lir�/��/� 'i°� ��1(16 xlZ� <br /> N S E W / ft. <br /> tN]G91FlJh8 <br /> C�J_D[3 4459.SD <br /> PLIY; 4�S.OQ <br /> ik:Gl ��1.`� <br /> Approved By �'�-II fN11RE►7ki+�L <br /> inea �� <br /> � .t�c�� q.�rJ.W <br /> IMPORTANTI Issued By �'��q �� — <br /> CALL 1�800d24-5655 48•HOURS �b <br /> �s� �}SD.I)0 <br /> PRIOR TO DIGGING S�,1j_•• �hr�yfl(1 <br /> r��- <br /> CALL 259�6811 FOR INSPECTION 'sEC, ����3'�,� <br /> Inspection By—.., �j;���J•� <br /> ,J��'7�l��7Jt � <br /> Date Inspected --1--- <br /> SEE SKETCH ATTACHED <br /> No. 2,�^i165 <br /> IiVSPGC�ION <br />