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CHART N0. <br /> everett -�-o �s-r«.�c, <br /> e �Y � _ �e_9 � <br /> � <br /> � <br /> 3 <br /> � <br /> City of Everett ,:. i � S? ��% n $ � � � :M� <br /> !,� � � � y2 � M � � � `!� 7 <br /> Sewer Application and PeAr�it .� � ��, � y <br /> �., <br /> � r': ^ r� a �t rg �,y .... <br /> � ��i � � J �' � � _ � [ � F i <br /> 27132 A��� �. �� � � � ,.: � � � � � � <br /> NO. DATE <br /> Service Address 5309 23sd l►w x Utility Account No. <br /> Billing Address 5318 BSth Pl li Permit Fee 30•� <br /> City,State, Zip 6wailteo. lp1 90275 Connection Charge(s) ��t (�m il) <br /> Owner (Mortgagor) Nalch SnilAers Total Fee 30.00 <br /> �d1nu►ca � 1171-85: <br /> Billing Name sa� vat,�z afly 2�4.00 <br /> Connection By 1 / ' <br /> .\ <br /> ' � �1 <br /> Address Signed�._ �I ''' J —zl . <br /> cu:tort+er <br /> �' <br /> Phone 742—�916 <br /> DESCRIPTIQN: Sewer District �� #1 <br /> Lot 22 Block <br /> Plat r.nil..erth Eti11■ i5 Monthly Sewer Service <br /> Unplatted Description _Monthly Sewer Constr. <br /> Trunk <br /> Type Permit: tihr cw�utzyction <br /> Lateral <br /> Remarks: <br /> Abutting Lot Line <br /> N, S, E, W ft. <br /> Approved By �LPALA R. �7�L <br /> City Engineer <br /> IMPORTANT! <br /> Issued By �g�t S. t�lolwod <br /> CALL 1�800�424-555548-HOURS <br /> ?RIOR TO DIGGING <br /> CALL 259-8811 FOR INSPECTION % <br /> Inspection By � <br /> Date Inspected � �1 <br /> SEE SKETCH ATTACHED N0. 27132 <br /> !PJSP[CTION <br />