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CH4RT NO. <br /> everett �- ,.�--�, ����''� <br /> .�: <br /> � �� G- ''' -8`i <br /> � <br /> � 885:`= �RSB 8 � , � '� <br /> City of Everett � . , , <br /> r-- rr� a ,,, �: ? b r�, • 4 � <br /> ? T i +i in 'i� 'w' w' � � L� <br /> �+[�Pe�� � .� <br /> Se�nrer �►pplicntion y � ; . <br /> 27208 E � � �� �� � w � � � " � ^ � _ <br /> NO. DAT • <br /> Service Address Q► �^-+II �--���-•- Utility Account No. � <br /> ��,s ,� � ��� Permit Fee_ 30 00 <br /> Billing Address - <br /> City,State, Zip _ Connection Charge(s) »� ^^ <br /> Oumer (Mortgagor�_���.;_�,� Total Fee �.^, en — <br /> ottitcr w..iaQ..ac r.. ozei. u�i-es <br /> Billing Name � rat�r 179.00 <br /> �wsr f71.00 <br /> Connection By_. ,650.00 , /�/ <br /> Address Signed c�:�o�� <br /> Phone <br /> DESCRIPTION: Sewer District_ �ndd i — <br /> Lot Block Monthly Sewer Service <br /> Plat_ <br /> Unplatted Description Monthly Sewer Consir. <br /> Trunk n� pp -- <br /> Type Permit: <br /> Lateral <br /> Remarks: Abutting Lot Line <br /> N S E W ft. <br /> Approved By �*� — <br /> 'rtY npineer <br /> IMPORTANTI Issued By s�Y ��4en <br /> CALL 1-BOOd24-5555 48•HOURS <br /> PRIOR TO DIGGING <br /> CALL 259$811 FOR INSPECTION � <br /> Inspection By� � <br /> Date I nspected �"- '�� <br /> SEE SKETCH ATTACHED N0. Z�ZOS <br /> 1;.::i"=C �1C'. <br />