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� <br /> CHART NO. <br /> � everett <br /> j l . ,! _ � - � _ � <br /> � I <br /> I <br /> iCity rf Everett �� <br /> I I <br /> i <br /> � Sewer Application �nd Perr�at I <br /> i <br /> No. 26607 DATE t:arch 30, 19t?Fl I <br /> iService Address . Utility Account No. <br /> � Billiny Address ` � . Permit Fee 30 OS <br /> City, State, Zip � Connect�on Charge(s)_.��A...,. <br /> , � <br /> Owner (Mortgagor)_� _ Total Fee 3p g� <br /> iSpecial Utility F'ee Ord. 1171-�JS <br /> Billing Name�_ watsr 179.00 I <br /> Connection By se�aer ,71.00 � <br /> [SO.00 I <br /> Add ress S i gned_ I <br /> � Customer <br /> � <br /> i Phone � <br /> I ' <br /> DESCRIPTION: Sewer District�..n;�:� � <br /> � <br /> Lot a.� Block I <br /> Plat Larson nn,-�- _ Monthly Sewer Service I <br /> Unplatted Description Monthly Sewer Constr. � <br /> Trunk 330.00 I <br /> Type Permit: _ , � <br /> . U;:'1`.ir'f;:J lU:,il'nat{ U(.itLr•::�i i„� ; , . <br /> Lateral � i <br /> Remarks: °�i�uJ�` ''r'' � <br /> Abutting Lot Linelsl.J9i ���":r.,Ui� <br /> N� g� E� W�_'I lii �: r;�i ft. i <br /> if!:';li 47'�.1�0 i <br /> � <br /> � i; =.�'Lf! �b.-i,�t <br /> � _ �`� ':i���{t '«i.°1.�J� '� <br /> I !i;i�:;iJ, , .;?(i.L�U ` � <br /> Approved By 1;!;ui��i', 'o; i <br /> � 41C:it9Rngi e 6 .U. Ri � I <br /> I IMPORTANT! �`�':�".".`'"` ' <br /> � Issued By cllf I ��,tii: i <br /> I CALL 1-800-d24�555548-HOURS c��;�] � s, „� ,�� <br /> PRIOR TJ DIGGING � ;';i , �1;(,,p�! i <br /> � CALL'259-8£i11 FOR INSPECTION ��'I;����;� .;��,;�`°�;�; <br /> Inspection By�L/_[ — � <br /> / <br /> Date Inspected ,��/��Rd� <br /> SEE SKETCH ATTACHED N0. ��b�� <br /> Ii.. . , ;���;�; ' <br />