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CHART NO. <br /> everett <br /> St.,,.� �c </�c,2Z«X S-?7- .`3 9 <br /> e � <br /> City of Everett <br /> i <br /> Sewer Application and Permit <br /> N0. 27p1-� DATE Decomber 17 1968 <br /> Service Address _ _ Utility Account No. <br /> Billing Address Permit Fee 30 00 <br /> City, State, Zip �_ Connection Chargels) xone <br /> Owner (Mortgagor) . Total Fee_ 30 00 <br /> rttility Development Fee Ord. 1171-e5 <br /> Billing Name water 20.61 <br /> a 54.37 �_ <br /> Connection By_�}a;,a�„ , � � 75,00 <br /> � \ <br /> Address Signed ��' �`��� �'`'�<<� I <br /> ---���^, CustomPr <br /> Phone _�y..g�g� <br /> DESCRIPTION: Sewer District <br /> .. ia s.i; �i,.ii�.i;: .t;';, . . <br /> Lot Block Monthly Sewer Service <br /> PI a t ,:i iti�I l•i i.t:i <br /> Unplatted Description Monlhly Sewer ConE11.�y- ``��•�� <br /> 1'ptll{.;F' s:LY1.00 <br /> — Trunk Irf'i..:U :Ut.ia� <br /> Type Permit: ;:(u�;). �:'�° , <br /> • Lateral li.l�, SJ�iS'.",U I <br /> L' '��FY'H S3.`.i0 i <br /> Remarks: Abutting Lot Line�, ��`�`�� '��'•��� � <br /> N S E W;'n��C.'�01'i ft. <br /> Y r ' . .,U.!t• <br /> i i7i ';i tii`�.1�� <br /> tdnt���ol`4 <br /> �n:lli' ?'�`.d1.�91 �I <br /> �'JS.� i. :'tl}}1�dJ <br /> Approved By Ar.tr� a Fer. <br /> Ciry En9ineer II <br /> IMPORTANT! <br /> �SSUCC� 8�� Svf�f�•{iq�n <br /> CA L L 1 E00�424-5555 48-HO U RS ' <br /> PRIOR TO DIGGING - <br /> CALL 259-88�1 FOR INSPECTION �/,LJ'' <br /> Inspection By /� ��`�" / <br /> Date Inspected 7 —u "`� <br /> SEE SKETCH ATTACHED Np, L 7017 <br /> If':�i Ei:llOi: <br />