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_ __ - <br /> � <br /> I <br /> I CHART NO. <br /> � everett <br /> � i s�� � C/i�.��, //-zo-90 <br /> .� <br /> City of Everett - � ;=� ;' `? � : r `` <br /> :, - =' ': =; <br /> � . ; , :� - <br /> - .. .. i, .-r (3 � O� '� � j4 <br /> +reo � ,� <br /> Lf' <br /> Sewer Applicati�n �nd PeKoriit : _ � � �� <br /> � -, .� <br /> '.�i : iJ �� CJ !^' i � L >� <br /> }y . : _ �� = tZ y�t .-� .,�I lyj • : <br /> r.i ', u '_i �:' :_^. .. � �b � i�- �� �'= F.'? <br /> 2 V� V� . : _J J � . 'J ,.: :f u —�i F, 1�- � <br /> N0. DATE set��tember-12, 190F1 <br /> Service Address �8gprr�gt.��r�a�— Utility Account No. <br /> Billing Address _ Permit Fee . <br /> City, State, Zip , Connection Charge�s) . <br /> � � IOwner (Mortgagor) Total Fee . <br /> IItility pevalopment k'ee Qrd. 1172–E�5 � <br /> Billing i:ame watar 179.p0 I <br /> se��er 471.00 <br /> Connection By_ 650.00 I <br /> Address Signed — — I <br /> Cus�omer <br /> Phone I <br /> � DESCRIPTION: I' <br /> I Sewer Dis[rict Dond III _ <br /> I <br /> ; Lot 33 Block Monthly Sewer Service _ <br /> Plat �raon Pl. <br /> Unplatted Description Monthly Sewer Constr. <br /> Trunk 330.00 <br /> Type Permit: Aew rnnnaction <br /> Lateral <br /> Femarks: <br /> Abutting Lot Line <br /> N, S, E, W ft. <br /> Approved By rr.FnFn F_ mxr�r. i <br /> ICiry Engineer ; <br /> I IMPORTANT! � <br /> Issued By St.Fy i'augen I <br /> � CALL L800-024-5555 48�HOURS <br /> I PRIOR TO DIGGING � <br /> � <br /> � CALL 259�8811 POR INSPECTION � <br /> ) <br /> Inspection By���r' ; <br /> � I <br /> Date I nspected � / �'��1� <br /> � <br /> ��i�3J <br /> SEESKETCH ATTACHED ��• I <br /> � � .,� . ...'i IQ;�i j <br /> I <br />