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. <br /> i � <br /> � , <br /> s, , , <br />� ; <br /> ; <br /> � <br /> � a� <br /> CHART NO. — <br /> � everett - � . -� - — _ ,.,� ' <br /> ;, ,�� _ �-,� ;-;,r -� c � � <br /> �_, � � <br /> � <br /> � <br /> � ; <br /> City of Everett � <br /> � <br /> ��,�vt+er i4�plieat�o�� ssi�d Peirmi� '� <br /> nio. 266�7 DATE April �;, ���rj I�� II <br /> Service Address ��q�� �nrr n.,�F _ Utility Account No. i� II <br /> ( Billing Address 2p,L?4th St Permit Fee gq, �..�n _ � �I <br /> � � <br /> City, State, Zip g ii + ,� , ;�n 9g�, ConnectionCharge�s) ��g,4g i ! <br /> Owner (Mortgagor? ���.++�y, Ccaat Total Fee��ng , I <br />, i <br /> Billing Name �x gy�a Special Utili�� Pce Ord. 117].-DS i ' <br /> aatar 179.00 , <br /> Connection By�;,;,,,s sewar 571.00 <br /> 550.00 <br /> Address � _ Signed <br /> customcr <br /> Phone �r73 B3� <br /> DeSCRIPTION: Sewer Uistrict�� <br /> Lot 4 Block <br /> Monthl•; Sewer Service <br /> Plat ya�n��rY <br /> IUnplatted Description Monthly Sewer Cunstr. <br /> I Trunk 338.98 <br /> Type Permit: heur COnnection ,�: - -� : ; y ' <br /> . .. ..... __ i'}: Ri iii.ii<<'s�i[��,i�:: , <br /> Lateral <br /> Rem arks: _��'�!i:';;c.�'i <br /> Abutting Lot l.ine' ':!dEF' ^.-:?U.t;�) <br /> N S [ WLbIUIfI 5:;.;i�.� : ft. <br /> f.i1:-S Yn5!1.�1O <br /> l F�ii11 NS&`�`.i I <br /> i1i1'.EI2 t:.U.il:! <br /> �il��ujiS(;::q � �, <br /> Approvzd By � 'r�r�o �+��:�bnr. ! <br /> !Ci3V�EngineerSS:;�,UU � <br /> IMPORTANT! ��`� �� ���'�? <br /> Issued By ��"��`'�^ FIau4��dt � <br /> CALL7-800-424-555548-HOURS ,. SI:CIi -'-iS.Gf! <br /> PRIOH TO DIGGING I�6�.'67; '.:;:i7,1;i1 <br /> li'-a:l•. ',�.ic,'.:�..'itl I <br /> CNLL 259�8611 FOR INSPECTION ` <br /> Inspection By <br /> 6ate Inspected �'f��'� <br /> SEE SKE7CH ATTACHED NO. `bE�L7 <br /> If', , _�: flC`. . <br />