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CHART NU. j <br /> everelt ���,�,b (i(�.C� 7/S-�r e <br /> e <br /> City of Everett <br /> Sewer Application and Perm�# ' <br /> N0. ����� DATE _ ��= 10, 1987 <br /> Service Address 10830 19th 1►�ne. Ss Utility Account No. <br /> Billing Address �� Permit Fee . <br /> City, State, Zip M=�tt, AA 98208 Connection Charge(s) <br /> Owner (Mortgagor) �- �a and Dr. binith Total Fee _ <br /> Billing Name �� S,xcisl Oti�it� P�a Oiad. 1171-85 <br /> vatar S15.Ob <br /> Co�nection By �1ri x�� ' ��_ � <br /> ;;� j ;. / i3s�.ee <br /> Address 713 S8 See=Kt Nall ilay Signed `� �•' v� '_�— 1872.91 <br /> custo r <br /> � Phone 353-6500 <br /> DESCRIPTION: Sewer District �d IIZ <br /> Lot Block _.. _ <br /> Monthly Sewer Service <br /> Plat <br /> Unplatted Description Monthly Sewer Constr. <br /> Trunk <br /> Type Fermit: <br /> Lateral <br /> Remarks: <br /> Abutting'Lot Line , <br /> N S E Vl��i)i!i " i i:�?F1i4 l�S1iiN$3o i i�;t E <br /> , <br /> � <br /> iiOElOS384u <br /> GI'T.2[t Ati3.:�t! <br /> - i•'W fY: 4�i7.�14 <br /> Approved By �irr:�' 97.71.';0 <br /> El.i)ti �i31�r..`'i0 <br /> IMPORTANT! It yi-t�;H ;�;.5(1 <br /> Issued By <br /> CALL 1�800�424-5555 48•HOURS � •� <br /> PRIOR TO DIGGING iSfAiG.^.bvCt3 <br /> :it!J- ' i10.00 <br /> CALL 259�8811 FOR INSPECTION ��,7�=,yw <br /> ( n �,l'.i � <br /> CInspection By �TM �P '�� � �� � <br /> i Datelnspected_!�� <br /> � SEE SKETCH ATTACHED Np, G6483 <br /> INSPECTIUN <br /> ! <br />