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CHART NO. <br /> everett � <br /> � ~ '1 �� _�� I <br /> �$$$ To pnSTiNr �— <br /> City of Evxett � S S 8� S $ S � $a <br /> .r N M Y) il7 O .-� N O L� <br /> .. o� � .i �' a :, .w `� a n <br /> � r� <br /> Sewer Application anc�Q rmi� , � � � ti 1 <br /> � � r. ,o �o <br /> � 2L� � �mu � � � � u� � � .7�i <br /> N0. 2676T DATE �lv �ze� �ma <br /> Service Address ��15 'lhezec;�. Utility Account No._ 6 <br /> Billing Address �l� ��' �� Permit Fee �n �+�+ i <br /> City,State, 2ip �tt, lu1 9l201 Connection Charge�s) I <br /> Owner (Mortgagor) 1�ae�os P�owrel.�� Total fee �n nr <br /> Billing Name �w <br /> Connection By � �t <br /> Lb <br /> Address l.O. soat f1 s1� �t�ea Signed �� . <br /> customer <br /> Phone �L��1S <br /> DESCRIPTION: Sewer District <br /> Lot s• � f2 Block 1� Mo�thly Sewer Service <br /> IPlat �Y � <br /> Unpletted Description R9onthly Sewer Constr. <br /> Trunk <br /> Type Permit: <br /> Lateral <br /> Remarks: <br /> Abutting Lot �ine <br /> N, S, E, W ft• <br /> Approved By <br /> �cr re��:� <br /> IMPORTANTI <br /> Issued By — � <br /> CALL 1�OOd245555 48•HOUHS <br /> PRIOR TO DIGGING <br /> CALL 259-8611 FOR INSPECTION �� �'-�� <br /> < <br /> Inspection By <br /> Date I nspected �/� <br /> SEE SKETCH ATTACHED N�• 267V7 <br /> INSP6CllON <br />