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CHAkT NO. — <br /> � everetl �.,y� ?`'2�� 1�r��,-i.�� � ���- .3r' <br /> ; � � <br /> City of Everett <br /> � Sewrer App�icatiar� and Permit <br /> ! zss�� <br /> NO. DATE a�ril 15� 19eR I <br /> Service Address 1090� lOth Gr. SE _ U;ility Account No. — <br /> Billing Address 2015 :4th 5t. _ Permit Fee 3n.Do <br /> City, State, Zip Eellinnham, FA 98225 Connection Charge(s) 33p.4G i <br /> � Owner (Mortgagor) taazvel Const. Total Fee 3n.on <br /> � Special Utility Fee Crd. 1171-�.5 , <br /> I Billing Name Same , <br /> watcr 179.OG <br /> � Connection By_�ape Sewnr 471.0o i <br /> b50.0o <br /> Address sa:ne _ Signed i <br /> Cuslomcr <br /> Phone_ F7�-9t4o I <br /> DESCAIPTION: Sewer District ��o„a TrT I <br /> Lot Z Block � <br /> Plat �rson Park Monthly Sewer Service i <br /> Unplatted Description Monthly Sewer Cof���ti�:-��'t^" i:<:�i{ii �i0ih?liii.l;>:' . . . . : <br /> i <br /> - Trunk ���u3l�t�E%a„�n nn � <br /> Type Permit: *tew_L��*ipr '•,J(tlf:li ,-:c�U.(.dt � <br /> Lateral :����i»�i`%��'° <br /> i;Lr�t� i4::;:.5t) � <br /> Remarks: f>Lr,�; :;r�y.IN� <br /> Abutting Lot Line i,��,�� ,,„r.,t� , <br /> N, S, E, W ft. j <br /> : .M��� vo,.,: - i <br /> � E i;fiCN �,:t5.�1:1 ! <br /> � GG''JWV k�.0.f!Ll <br /> I — iii�ri:.C`dr;,B I <br /> `��4,'i.i; d 'ii,f�U <br /> --- ApProved By_ <br /> 'C � `E gineel' '-�"- <br /> 1)��i�-.`� . ._:i::liil <br /> IMPORil+NT! �:M��_Ci, >i��'.�-:._+i : <br /> � Issued B y Lau s — <br /> I CALL1-800-4T.4-555548-HOURS c�,� � gn i <br /> PRIOR TO DIGGING I <br /> CALL 259-8611 FOR INSPECTION / /� � j <br /> I Inspection By � C _ � — I <br /> Date I nspected� �� I <br /> SEE SKETCH ATTACHED N0. Gv628 <br /> I�.':::=:.:'_.��-i r:: i <br />