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CHAR'f N0. <br /> everett <br /> — ��� � Cl1�.y,�:.� '/�� oi��' <br /> � :_ <br /> i_F <br /> � � <br /> �. <br /> City of Everett – � � � . � � � � � � � "� <br /> _ Q' �.1 .,u . r•: ;;i r: i� ,= o ,^�3' � <br /> - b'] jl .t !. .-!I'J F- �^ �1 <br /> •^ ,. r. � ,_l �i �+ ^i �i v.� :- I <br /> {R <br /> • w `�� f". � p? � J� i:- <br /> Sewrer Applicat�on and P�rrn�t � �� A , <br /> � z . � rt .� � , <br /> .-r :J Z1 i rv. c 1 ' ' <br /> - J i� [2 i L•' �X: J '� `, ? T+ W i= <br /> -. :� :+. V �. :It Jl 1, �� '� :- <br /> 26335 == -� x � ,. � ;y _ _ - X � <br /> �?_ .... .ia u W �l �- <br /> N0. DATE SpTtaahAr ii� lqR� <br /> 10510 lOth Dr SE <br /> IService Address Utility Account No. <br /> Billing Address_ Z�ZOG - 64th Ava NW permit Fee 30.00 <br /> City, Stace, Zip Stanwood, WA 98292 Connection Charge(s) 330.Q0 <br /> Owner �Mortgagor) David S#dg BicJelox Total Fee 30.00 <br /> Billing Name L+avid Bm Siqelow Special utility fne, Ozd. 1171-95: <br /> water 175.00 <br /> se�ver 471.00 <br /> Connection By S� � 650.00 <br /> � Address Signed �F �! <br /> Cucmme; i <br /> Phone 62?-3785 <br /> DESCRIPTION: Sewzr District Bond III li <br /> Lot 3L Block � <br /> Plat Monthly Sewer Service , <br /> �'4re�rer <br /> Unplatted Description Monthly Sewer Constr. <br /> — Trunk <br /> Type Permit: <br /> Lateral ' <br /> Remarks: <br /> Abutting Lot Line � <br /> N, S, E, W ft. � <br /> I <br /> I <br /> � <br /> Approved By AI.P1tED R. TttEAL � <br /> City Engineer <br /> IMPORTANT! <br /> Issued By :'�[+raaret E. McLea3 <br /> CALL 1-800-424-5555 48•HOURS <br /> PRIOR TO DIGGING <br /> CALL 259-8811 FOR 1NSPECTION <br /> � Inspection By--��" ' \ <br /> I _ Datelnspected �� �_ ; <br /> SEE SKETCH ATTACHED No. 25335 I <br /> I�dSPGC'T ION <br />