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i <br /> � <br /> CHART NO. <br /> everett <br /> e � <br /> ,� �U2 e H��i2��N�7 <br /> � �e.tif T-r4-q � <br /> a <br /> City of Everett .c '� � `� �' � � � 4 :; � <br /> � ' <br /> � I� � Yi G� O � vGi'- <br /> ^�1 =c -. � .+] T� � �v r^ <br /> iN .. -� G' .+�J �ie � <br /> ` �i � <br /> N n <br /> • T •( •• '+� <br /> Sewer Applic�t��n�aa��ermit . <br /> .r .0 '"'� w ,y :�� � — ;y = :� <br /> . !� � �i � :� i- '� � G�i V �! :_a <br /> 27656 ; -= � � �� � = =' �' � :� :� � '� <br /> N0. DATE �+.+�h �n, �4n <br /> Service Address Utility Account No. <br /> Billing Address p� `� 708 _ Permit Fee 30_00 <br /> City, State, Zip ...-+.,,,,�T�g&Z�g Connection Charge(s) itn-�n <br /> Owner (Mortgagor) Select F3oneo Total Fee �o_oo <br /> Billing Name orainance 1171-45 <br /> water 224.00 <br /> Connection By sew*er 589.00 <br /> 613.00 <br /> �.. <br /> Address Signed <br /> Customer <br /> Phone <br /> DESCRIPTION: Sewer District 8ond t <br /> Lot � Block <br /> Plat Monthly Sewer Service �,�� <br /> 6iaelwirsn fils �4� � <br /> Unplatted Description Monthly Sewer Constr. <br /> Trunk 110.00 <br /> Type Permit: <br /> Lateral <br /> Remarks: <br /> Abutting Lot Line <br /> N, S, E, W ft. <br /> Approved By <br /> City ngineer <br /> IMPORTANT! � Iaocicweli <br /> Issued By <br /> CALL 1•800-024-5555 48•HOURS <br /> PRIOR TO DIGGING J <br /> CALL 259�8811 FOR INSPECTION � / <br /> ` Inspection By ��=�' `` <br /> Date lnspected //�G'S•° <br /> SEE SKETCH ATTACHED NO. 27656 <br /> !r���;>r_c�n ov <br /> � <br /> � <br />