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� <br /> ; <br /> CHART NO. <br /> eve rett I <br /> - �j�+'�,� �a C/ta2�•� <br /> � : �/ �� -� D <br /> City of Everett - "' _ ^ 4; � :3 � ;� ,=' ;� � <br /> �o -a r: ir`, ,; ci c? c� � ��• <br /> � :iY .� [J `il f� t�: .� _., <br /> I •^ � k' ✓ t� � 'Yl M} �') .!+ .� <br /> i +t� d'y L: —� <br /> S�vu�er a4pp li�c��atio� ar�d Permit =� -, ri Y x. � � � L� `• <br /> � •�1.�•�, f� ' _ 'J � 1 � Iyj �y I.f lti .+., :� <br /> 7/x� .� � � y F- .� 2 � 1 _ <br /> 2� 1 V� .. a . :, _,_ _i: � .� <br /> w u � �,1 � <br /> N 0. DAl-E �'� <br /> n . - <br /> Service Acldress ��;x�� }g�.}= �. �g-- Utility Account No. <br /> Billing Address�2 . � Permit Fee��_ <br /> City, State, Zip i,yere�e, k,R S8282 Connection Charge�s) <br /> Owner (Mortgagor) Total Fee <br /> Biliinq Name� Gtility Developmen� Pee or3. llil-85 <br /> water 179.00 <br /> i Connection By 3eecr 4�1_00 <br /> 650.00 <br /> Address Signed <br /> Cu:tomer <br /> F'hone�� . <br /> DESCRIPTIOiV: Sewer District n�,,.� T�_ <br /> I <br /> � Lot_�S3 Block Monthly Sewer Service I <br /> F'lat - - --:- ----- <br /> ( Unplatted Descripti�'m_ ._^._.. Monthly Sewer Constr. <br /> ITYPe Permit: --- - - - Trunk 33p AO <br /> ; ve n on l.ateral � <br /> I — � <br /> I Remarks: I <br /> Abutting Lot Line <br /> I --- -- N, S, E, W ft. i <br /> i <br /> I ----- --- - I <br /> ; _ � <br /> � APP�oved By �7:nn � mnrrr. i <br /> I Ciry Engincer � <br /> I IMPORTANT! I <br /> Issued By G�}r ffaugon i <br /> CALL 1-H00-424-55554II-HOURS <br /> FRfOR TO DIGGING � <br /> CALL 259•8617 FOR INSPECTION � _ -- I <br /> Inspection By� - � � � <br /> � Date Inspected � � <br /> � <br /> SEE SKETCH ATTACHFD N0. 2678� <br /> � -.�,_. �. _ � j <br />