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CHART NO.
<br /> everett / I
<br /> ��i.j��.i/ ,�.-i �It�CI.'f ,�.�;.� )_Lz'�:S
<br /> � `
<br /> I
<br /> City of Everett
<br /> S�ewer �ppliecafiio� and Perm:it �
<br /> N0. �6`fs� DATE _ . + n _
<br /> �T�9-R ti
<br /> iService Address 10920 lOth Dr. ^i: Utility Account No.
<br /> I111. SL Everatt Mall Mlay
<br /> Billing Ad�'�sss Permit Fee_�g, qg I
<br /> ICity, State, Zip E4Qrett, N7:1 982C4 Connection Charge(s} �4.0�
<br /> Owner (Ulortgagor) nr r.,..�r.,,..►+.,,, _ Total Fee �g, �n
<br /> I Billing Name �ziAa Special Utility ree Ord. 1171—SS I
<br /> :uater 179. 00
<br /> IConnection 3y �a sewer 971.00
<br /> I 650. 00
<br /> i Address ��o _ _ Signed
<br /> Cu,tomer �
<br /> Phone r �� �
<br /> � -7r3 �r7
<br /> �
<br /> � CESCRIPTION: Sewer District Bond ZIT
<br /> Lat 5G Block— i
<br /> Monthly Sewer Service
<br /> Plat Larsott Park
<br /> Unplatted Descriptior Monthly Sewer Constr.
<br /> i Type Permit: Trunk 330.00
<br /> t:ow Connectioa
<br /> Lateral .. . _ . ... ,.... I
<br /> ;:: ._ , . . :, , ,...., ., , , I
<br /> Remarks: , �
<br /> Abut[ing Lot Line;,iiUilf;��l::
<br /> N, S, E, W;;� ' �T:.�,` �-. ft. i
<br /> ��lE��, ;�;',,,� �� I
<br /> — ia�iJ; ',l^..n,
<br /> i'I!i C!i ?.`_'i. i_� �
<br /> �, :a<t:l� . ,e I
<br /> Approved By i.CAAk'iF.ED-, R;.;.��IILAL �
<br /> � � .p:.�{Y1�Enginccr,:.'i1 ;1,1 �
<br /> i i M PO R TAN T! 5i�Gi�:%n::2.:, �I
<br /> Issued By �:i:£;�sy liau5pn I
<br /> CALL 1-500-424-5555 48�HOURS �:fii:';11 ::;'..�i,.U!
<br /> PRIOR TO DIGGIDIG , �.,�._,� ; ;,.,i� �;� I
<br /> i��.i �.; ` �
<br /> i CALL 259•8811 FOR INSPECTIO�' ;
<br /> � t t'��
<br /> Inspection By � . I
<br /> Date Inspected�—Z� �
<br /> A I
<br /> SEE SKETCFI A'iTACHED N0. 26`fC�7 I
<br /> „_ _", !�'. �
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