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� - - _ _ - � <br /> I <br /> � �:� <br /> � <br /> A <br /> � <br /> � -. <br /> 1 <br /> CHART N0. <br /> I everett <br /> � T t��5-r�� <br /> �� � iGr,l�G1C �� (!VL ��� ��c� `�l <br /> � � �i�/:5/d=Sr y�� 3-Zmv -qr <br /> City of Everett <br /> Seanrer A, iicati�� and Permit <br /> �P <br /> NO. 2�8`�6 DATE Sggt�mMr »�,�!AE? <br /> Service Address 10718 IOth Br. SE Utility Account No. �, <br /> Billing Address P.o. Pox 7oE Permit Fee �o_no , <br /> City, State, Zip Mukilteo. T'A 98275 Connection Charge(s) a3�]_no ' <br /> Owner (Mortgagor) F�ndv Cinrk Total Fee 30.00 <br /> Billing Name Same L'tility :ee ord. 1171–RS <br /> �ater 179.00 <br /> Connection By Saue aeteer 471.00 I <br /> 6�O.d0 i <br /> Address &rrse Signed_____ I <br /> Customc <br /> Phone �3P–oa35 _ � <br /> i <br /> DESCRIPTION: Se�ver District r��r� uZ i <br /> Lot ,q Block <br /> Plat �rson Park Monthly Sewer Service �' <br />' Unplatted Description Monthly Sewer Constr. i <br /> Trunk_3�_ I <br /> Type Permit: heW pp�ection � <br /> Lateral I <br /> Remarks: I <br /> -- — Ahutting Lot Line i <br /> N, S, E, W ft. <br /> �I <br /> Approved By rrcrn•n R ms�rnT. ' <br /> Ciry Engincer � <br /> IMPORTANT! <br /> Issued By �L,3� Elnugen � <br /> CALL 1-800�424-5555 48-HOURS <br /> PRIOR TO DIGGI�G <br /> i, <br /> CALL 259-8811 FOR INSPECTION � <br /> InspectionBy �'� ��% � <br /> I <br /> Date Inspected��f' j <br /> SEE SKETCH ATTACHED NO. ��o�U I <br /> I <br /> .I�:� . ._ � i i __i I <br />