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everett cHART ►uo. . <br /> e �� <br /> �, <br /> � <br /> .m'j SEwJjTo !'f//JRTiNG //'/2'8( <br /> City of Everett � o <br /> 0 <br /> �i � <br /> .> <br /> Sewer Application an�l,, , �it <br /> � � <br /> : � � � � � <br /> 25893 � '-' I <br /> N0. DATE ��= 14, 2986 <br /> Service Address �t?77 �`ihh BJP ¢ F _ Utility Account No. <br /> Billing Address��� _ Permit Fee <br /> �J6:89 <br /> City, State, Zip_���t� p� qO3�� Connection Charge!s)_���s69 <br /> Owner (Mo:t�agor) a,� E.+��pT�' _ Total Fee ��� <br /> Billing Name _. ���� ordinanoo 1171-85: �100.00 <br /> Connection By ����_j <br /> Address Signed � � ' � <br /> / � �<=� customer� --� <br /> Phone_ ��.���� �766 <br /> DESCRIPTlON: Sewer Districc_ t;E;,_, 3�� + <br /> �ot Block <br /> Plat Monthly Sewer Service <br /> Unplatted Description � Monthly Sewer Constr. <br /> Type Permit: New Cor,r�ctio�� Trunh <br /> Lateral <br /> Remarks: Paid :,•,� i.Ib 71: Rqr�eee�it. ,'•;ail <br /> Abutting Lot Line <br /> invoice for side sek�er ennstructinr (,irr,��C _� N, S, E, W ft. <br /> lepal r.ra�ertv utin,r.s•) h�fore ).i/�l/3E tc�: <br /> c;elia Stron � <br /> �. <br /> �...:U �.,euar SL. hLF��cf.� it. if��AL <br /> EVe[ctt t1A 9ti�G7. Approved By_ <br /> � Ciry Engmeer <br /> IMPORTANT! haiya:et E, flcL�•c,i <br /> CALL 1$00�424-555548•HOURS �Ssued By <br /> PRIOR TO DIGGtNG <br /> CALL 259�8811 FOR INSPECTION <br /> _ Inspection By ti <br /> — Date Inspected L � G � <br /> SEE SKETCH ATTACHED Np, Z�Bg� <br /> I P•!SPECTI0��1 <br />� _ _ _ __ ___ __ __--- <br />