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CHART N0. <br /> evereri <br /> � �--�, �`�� C/„✓l,;.� ,r _ [��� <br /> - �. <br /> City of Everett <br /> Se��nrer Application and Permit <br /> NO. Lvo ! � DATE Februerv 27. 1987 _ <br /> Service Address lOGo7 - lOth Dr &E Utility Account No. <br /> Billing Address � 29206 - 69th Ave riW Permit Fee 30.00 <br /> City, State, Zip stanNood, WA AB4t8 98292 Connection Charge�s) 330.00 <br /> Owner (Mortgagor) DaviE L. 9igglow Conat. Total Fee 30.00 <br /> Billiny Name David L. DiqeloM Conat. SPecial Otility Fae, ord. 1171-85: � <br /> waGtr 179.00 i <br /> Connection By Same sewor 471.00 <br /> r <br /> 650.00 • <br /> Address Signed ' <br /> �'—"Customer � <br /> Phone G29-3785 ,f <br /> S <br /> DESCRIPTION: Sewer District s�+nd izi <br /> Lot Z; Block <br /> Plat F�r �zvar Monthly Sewer Service <br /> Unplatted Description Monthly Sewer Constr. f <br /> { <br /> Trunk <br /> Type Permit: New Connection � <br /> � <br /> Lateral � <br /> Remarks: � <br /> Ahu[ting Lot Line r <br /> N, S, E, W ft. � <br /> U3�ii3iR7 :S:Si3Pti (�IUA�t�tw� {tKr � <br /> � <br /> / <br /> S;OOtiiTISS+ <br /> EKtHI 448;',lw j <br /> Approved By � �P�, I; <br /> a Engincert(�Z�— <br /> IMPORTANT! rt���ret£t."'�Laod <br /> Issued By I> Sh:Cii 31.`Ai <br /> CALL1-S00-424-555548-HOURS - ��n6 . .UU <br /> PRIOR TO DIGGING IIF.'.%W{1 �'2U.�7U � <br /> e <br /> iii t(}1��. .i:j <br />' CALL 259•8871 FOR INSPECTION ����,�� <br /> . .� ` <br /> lnspection By ' � <br /> ,J � ' � S! <br /> Date Inspected 'lf�� � '`- `;, �� <br /> 1 Y'i 1-'.� 16�J�l}I�� �� <br /> SEE SKETCH ATTACHED ��{`���� NO?���`��'m <br /> INSPGCTIOP! <br />