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CHART h0. <br /> everett <br /> � � �-_- ,- ,� ' <br /> � '� .��• - ,l� /' ?/ob <br /> � <br /> City uf Everett � g <br /> a .�' <br /> m <br /> Sewer A�►plication and �e�� <br /> ,� u �� <br /> No. 25685 DATE o ��—,/ 6' ---- - <br /> Service ,4ddress �^�i l�th "ve 5 F Utility Accnun.* No. <br /> BillingAddress— � �`� ' ' ' �--� P;rmitFee__., - <br /> City,State, Zip Connection Charge(s)_ '._ <br /> s;� <br /> """'". �, y.,�'=J Total Fee r`"'-''w � ' <br /> Owner (Mortgagor��„�a.�„�.•� � -- - <br /> , i, . ,,' <br /> Billing Name � II' ._`IiF,d 1:14�'ii LhlOAN^`.5(.t kt.:F <br /> : / <br /> Connection By �����`x''�'�'' <br /> r;cWF•�� <br /> Address Signed_:�___�`��i'Jl1f ' <br /> co:�°f�t .�, <br /> Phone <br /> �' 4:i1�,:N ifJ.�7 <br /> DESCRIPTION: �ewer Distri�:t_���_;_��__^ <br /> Lot — 8���� — Monthly Sewer Service_ _ <br /> Plat � — <br /> Unplatted Descrip.:io�� _ Monthly Sewer Constr. <br /> Trunk <br /> Type Permit: �Pw �����tion <br /> Lateral <br /> Remarks: p3id hy L:iD 719 Aorc�"'ne__>t. }�a� qbutting Lot Line <br /> +rnoire !'or �•��+ r ,nst;.ucti�n si^ned b�• N, S, E, W ft• <br /> 7�;�1 oro��y uwr�r? t:ePore 11/[1/2� to: <br /> n <br /> ;�[��, . �; . � . :.LFRC� R. TFt£AL <br /> — Approved By <br /> Everett, Ylii 3��C.t Ciry Engineer <br /> IMPORTANT! i•!argaret E, t?cLcci,] <br /> Issued By—. - <br /> CALL 1300�424•5555 48-HOURS <br /> PRIOR TO DIGGING <br /> CALL 259E8T1 FOR INSPECT�ON � <br /> Inspection By� <br /> Date Irrspected � � — <br /> SEE SKETCH ATTACHED N0. 2`58$5 <br />� IRSPFCTIGN <br />