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i <br /> ; <br /> CHART N0. <br /> everen <br /> _ ;e„+ f� ,���S�h,�;� s as - �zr <br /> e = <br /> City of Everett � �� `� „ � '' � `' - -, <br /> u. rl � i .'� . ;�! '� <br /> a= <br /> r�� 5� G c • c ^ 7q LJ r` - <br /> � , ' �.�� :. r ,_ i' <br /> ,- �sl .,+ .�: n t: ti v7 � i�J <br /> - . �. s. � �. <br /> • • _s � • :J y� �� C.J �e.S �. <br /> Sewer Application an�d Rer�nit � - * =� ��, <br /> � "- � - ; �* § ;� ' � �; � J <br /> � ; -� r> , , .� <br /> � <br /> '' � '.J ,�,1 �.l ..' � . w Cti .r � � r- ti <br /> '�. J _ ;y' f u � � � � G Jit2 <br /> 27412 � � .� �. �. , w :, �- � .� � � <br /> N0. DATE ���ooz.�= », 1909 <br /> Service Address ia2c S�cr_ sw Utility Account i4o. <br /> SillingAddress ��oE �Qth ave_ �,-c PermitFee �a nn <br /> City, State, Zip t� Fv�ett, wA es2o6 Conrection Charge(s) ��� nn <br /> Owner (Mortgagor) The Gzanite roro_ Totai Fee �a nn <br /> Billing Name ca�,. Otility Davelopaent Fne Ord. 1171-IIS <br /> rater 179.00 <br /> Connectian By t *++ anwcr 471.00 � <br /> 650.00 -- <br /> i , <br /> Address -.� Signed <br /> Customer <br /> Phone. 334 �?R8 <br /> DESCfiIPTION: Sewer District —is� � 2I <br /> Lot_ Block <br /> Monthly Sewer Service <br /> Plat <br /> Unplatted Description Monthly Sewer Constr. <br /> Trunk ��n .,� <br /> Type Permit: <br /> Laterel <br /> Remarks: <br /> Abutting Lot Line <br /> N, g, E, W ft. <br /> -- Approved By <br /> Ciry ngineer , <br /> IMPORTANT! <br /> Issued By sua3�ciaugon <br /> CALL 1-800-424•5555 48-HOURS <br /> PRIOR TO DIGGING <br /> CALL 259-8811 FOR INSPECTION ,� <br /> Inspection By �`��� <br /> patelnspected - � <br /> SEE SKETCH ATTACHED Np, ZT4lZ <br /> I f�S:':_Cil OfJ <br /> � <br /> i <br />