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� <br />_ i <br /> ,I <br /> i <br /> CHAR7 N0. �i <br /> � everett ' <br /> � � <br /> J. T �G �I,, . �% � ::; a^ I <br /> e �"� i . � <br /> xr� i <br /> � <br /> I <br /> [�H � City of Everett , <br /> aym ' <br /> � �� i Sewer Applica�:�n and Permit I �' <br /> � �'� I 26302 <br /> � �� : N0. CATE <br /> Hl7 ' <br /> OH <br /> H �g ' Service Address t�o'+ �st_�_h_s�= _ Utility Account No. <br /> C.�� C] � <br /> I <br /> Z ri� I BillingAddress_ l9na a•ti� n r„ n.�_ _ Permit Fee an_r.n _ <br /> �., y z �i <br /> Hy i City, State, 2ip F�it1 c�eek,�s� �oni� ConnectionChargels) ��r� ' <br /> g �'H ' � <br /> n d� Owner (Mortgagor) fi�r�la n�,�a Total Fee -+� pp <br /> � c�r — <br /> z y y � Billing Name �,n�,. Special lltility FeQ ord. 1171-85 <br /> y p� nater 1725.00 <br /> � �' COM@CtlOfl BY �'�-nnin fine�nw sever 9595.OG <br /> 6270.00 <br /> Address ��� S�' i-�nr..rr t•-tt :v;,y Signed �' <br /> cos�omcr <br /> � Phone zs'+-b500 <br /> I — <br /> I <br /> �� "� i DESCRIPTION: Sewer DisVict ���3 i <br /> `! I l.ot Block « ` <br /> 7.3-1G �-�5�— <br /> iMonthly Sewer Service _ <br /> Plat Plat of twerott <br /> �a� � Unplatted Descrip�ion Month'y Sewer Constr. <br /> � G'`.:9,.ifUFtf IfilJ[t <br /> Trunk��,�-! :�t� fi;y <br /> Type P� miC tiew Coru�ection <br />. I:IN!Y -'rii"(3. -_. <br /> �.� Lateral <br /> I Remarks: <br /> '�. � - Abutting Lot Line <br /> (� N, S, E, W ft. <br /> I I <br /> �?...! - <br /> I Uis/]1�i�r :;:::�'fi !1!:il�i1;:54.' �P'I:': <br /> ��UProved By__ <br /> ' �ry nginecr <br /> �,��� � itfu)UY1)61=) � <br /> i IMPORTANT! Ci'I..:i� 21,�] <br /> Issued 6y_ A .�a� ! <br /> CALL 1-800-024�555546-HOURS —��'� 3�•��1 , <br /> PHIOR TO DIGGING I��t111::F' 1 IfALf1�t I <br /> �• � i'I'l.�ll f•l41.77 <br /> CALL 259�8811 FOR INSPECTION ;;qit,eyL��':� <br /> �. �� . <br /> _ _ Inspection By�� <br /> n..o-i�-- <br /> Date Inspected �'�N���C��'� � <br /> d—1 i 1—��+6����j 1 1 <br /> SEE SKETCH ATTACHED ""u'��`NC��., `�30� <br /> !'LGr, :�.5::�'.SII <br /> li'J�PECT;OiJ I! :�:�.1f . �.'al �f <br /> i }�����'�� I�N'[' F <br />