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I li <br /> � <br /> � <br />��:. I <br /> tii�: <br />�.'.���i . • I�I <br />�1� . <br /> CHA <br /> RY N0. -- II <br /> evereri <br /> _, � �, c�, , ._ � _ __� e <br /> � <br /> Ci4y of Everett <br /> Sewer Application a�d Permi� <br /> � <br /> N�. 26464 DATE a� �g_8 g <br /> � <br /> Service Address ���C���'�rs . Utility Account No. _ <br /> Billing Address > > i cu n�arRr���aL.l, ��a•, Permit Fee �q , �� I <br /> - � <br /> City, State, Zip pvprott, can �x�nn Connection Charge(s) ;38-.{�4 <br /> Owner (Mortgagor) t>C Conr_trnetiQn TotalFee __;;n nn <br /> Billing Name_ �rm„ �Pecial Utility Fea Ord. 1271-R5 � <br /> water 179.00 � <br /> Connection By cr,�A sewer 471._00 i <br /> 650. 00 ; <br /> Address ���.� Signed � <br /> . Cuslomcr I <br /> Phone YS't_S77n <br /> �, <br /> I <br /> DESCRIPTION: Sewer Disvict �ond III I <br /> Lot 49 Block_ : <br /> Plat r.-rson pArk Monthly Sewer Service ! <br /> Unplatted Description Monthly Sewer Constr, <br /> tl::.',i��;::: , i:-�':�r;�i i���:uti'^i�,'i'�'_ . . ' <br /> Trunk 330.00 <br /> Type Permit: Iwew Connection ' <br /> !i�;�)i}:i;r..,; i <br /> Lateral j},i}�, ;; �, , ' <br /> Remarks: ��i�i)�„'v;.•: � <br /> Abutting Lot Line .i !P:I: _��.ti,t I <br /> N, S, E, W�'Fn)li� �"��. '�i.;�t� ft � <br /> 1171-'.� �?oSiJ.iai <br /> ;;i�!�118'i iii <br /> fi.Lfii:�� 1'i4`,�.i;�� � <br /> I {'LI:G :. >t'.i'�t ; <br /> Approved By ' � � _ � [;���� I <br /> ___.��{ r�inEer j„� <br /> • ��•+� I :�e �!�; <br /> IMPORTANT! <br /> issued By p4v�_Y!o���S� tTni�gnn <br /> CA L L 1-800-424-5555 48-HO U R S <br /> PRIOR TO DIGGING <br /> CALL 259-8811 FOR INSPECTION <br /> Inspection By_�� <br /> Datelnspected �6�Q� <br /> SEE SKETCH ATTACHED No. 26464 <br /> If`:�?ECI IOi�I <br /> �� v <br />