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CHA�7T N0. I I <br /> everett <br /> � �as�-� <br /> � 5 ZS 7� <br /> ICity of Everett <br /> � Se�nrer �4pplication cand Permat <br /> N0. ���G3 DATE nprii 15, i?oE <br /> Service Address �pgog ier}��_� Utility Account No. <br /> Billing Address �,�����„ �,- Permit Fee 30.00 <br /> City, State, Zip �,�•„� Connection Charge�s) 330.OU <br /> Owner (Mortgagor) > , Total Fee_ 30.00 <br /> .^�peC1.91 Ut111.ty F9C 0�^d. 1171-95 <br /> Biliing Name �� vratcer 173.00 <br /> sew�er 471.0� <br /> Connection By �ar„a — 650.OQ <br /> -- � <br /> Address_ _ � <br /> �,. Signed__ I <br /> Cuslomcr <br /> Phone 338�,335 � <br /> i <br /> DESCRIFTION: Sewer District_�l�j I=I _ <br /> Lot 34 Block _ <br /> Monthly Sewer Ser,Vjce,_.,,, �..���� �..;� .m_,_t� <br /> Plat y����A park -- <br /> I Unplatted Description _ Monthly Sewer ConS�t�i�l��f;.,it <br /> IA_lii; ��rkc;,i;l <br /> — Trunk � i ;�, 33U.L10 <br /> Type Permit: <br /> —z.'_ .,.:CII °7' ,. _ <br /> Lateral L ;r:,;�l , i; I <br /> Remarks: � E ''k'i:i1 , ,`;,�;5 � <br /> Abutting Lot Linel`!�:':'!J'; i.�{i.1��i � <br /> N S E, Nr;;,,�,��ti::r_: "1 ft, i <br /> �,u1i CI' >r.�i.t::� � <br /> ;'i;�i�iL:, �;��. I <br /> �.�, ��iV ti:i <br /> I iaH! i l ��.:iU Vij I <br /> — Approved By AI�+�REi? R:��`TlfE3.L i <br /> ;CiryiEne�npR� <br /> IMPORTANT! �,i'i . �: '• .��.,;: � <br /> IssuedBy :lnbt�� fiauc�t< •�•�% <br /> CALL 1-800�424-5555 48-HOL'RS I <br /> i PRIOR TO DIGGING <br /> CALL 259-8817 FOR INSPECTION <br /> c <br /> I nspection <br /> Date Inspected �/�[� <br /> SEE SKEI'CH ATTACHED N0. G��ZJ � <br /> � I� .. : _. ;�fl���. . <br />