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CHART NO. <br /> everett <br /> e � <br /> � TO POSTING�Q�`�� <br /> City of Evarett � 8 � 8 �? 8 8 � � g � � <br /> � t� r-> ri vs ,-+ t� � �� <br /> -� a � r� w ... Ria «'2 m � <br /> ,-� w w •� .a � r. � <br /> Sewer Applica�o� an� ' � `; � <br /> �_ <br /> � �� �, ,Y � � ;� � <br /> � u V [�!$ cO S � � <br /> 26766 � � � � w ,- � s � m � �f ��+ �` <br /> NO. �DATE +nl� zp� �wn <br /> Service Address 4�u' �� De. Utility Account No. <br /> Billing Address �r 7ermit Fee_ �,tn <br /> City,State, Zip �tt. Iq f�2p1 Connection Charge�s) <br /> Owner (Mortgagor) �t Psoo�rti� Total Fee 2..50 <br /> Billing Name � <br /> Connection By �1 Con�t. <br /> ��" i <br /> Address_ t•0. �oa� f� t�t� st� Signed - ' <br /> cuseomer <br /> Phone �74-Of]S <br /> DESCRIPTION: Sewer District <br /> Lot $ �� �2 Block � <br /> Plat �t]' 1104 Monthly Sewer Service <br /> Unplatted Description Monthly Sewer Constr. <br /> Type Permit: Trunk. <br /> Laterel <br /> Remarks: <br /> Abutting Lot Line <br /> N, S, E, W ft. <br /> Approved By �� � �� <br /> ci[v e�qineer <br /> IMPORTANTI <br /> CALL tA00d24•565548•HOURS Issued By �Y �Wb <br /> PRIOH TO DIGGING <br /> CALL 259A811 FOR iySPECTION ' <br /> Inspection By�� <br /> Date lnspected f��1 <br /> SEE SKETCH ATTACHED Np, Z6766 <br /> INSPECTION <br />