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_ . . . _. f <br /> CHP,RT NO. <br /> everen j <br /> I (.o {�O b"t l�`y I <br /> � 1 �. 3 'Z��IJ �, <br /> 'i IfJ <br /> I City of Everett J =� ,� � � . - � � � � c <br /> L'] h I'� `,! � � ,Gx" .... �_ <br /> -- .. .�- -n ��b :r `d - <br /> `» ya ' <br /> ; Se�er� e4p�plication and P��rrini� � _ _ � � 4��' <br /> � \` � �. [J '_" , ' � �3L 1-�v .y� r , 'w <br /> .� � � i3 [.� �i ' ','l, � s .` I� J - 'J <br /> 1��I I� -� .� L_ J J � rJ � J y •r J '��-+ ' <br /> I N 0. �s�'� ? DATE i•fovembe�� 1�AA ~ <br /> Service Address . � Utility Account No. <br /> Billing Address���5g�— Permit Fee 39 B6 <br /> D <br /> City, State, Zip����s Connection Chargel<1_��0 <br /> . <br /> Owner (Mortyagar) Total Fee �,..� I <br /> Billing Name Utility Cavelorment Fee Ord. 1172-35 i� <br /> � vater 179.00 <br /> � sewes 471.00 <br /> Connection By _ <br /> 65G.00 I <br /> Address Signed <br /> Custmner <br /> Phone <br /> DESCRIPTION: Sewer District Eonc1 III <br /> Lot � Block <br /> Plat �son Parfi Monthly Sewer Sen�ice_ <br /> Unplatted Description Monthly Sewer Constr. � <br /> � Type Permit: - Trunk�_ <br /> Lateral <br /> Remarks: <br /> Abutting Lot �ine � <br /> __ N, S, E, W ft, i <br /> Approved By I <br /> � n �S�r' ' ' <br /> IMPORTANT! I I <br /> CALL 1-800-424-555548-HOURS Issued By :+ll8}' F"A,tiq�.II __ _ I <br /> IPRIOR TO DIGGING <br /> CALL25D-S871 FOft INSPECTION �� .�_/. <br /> inspection B �% -� <br /> � _ L'ate Inspected = � �P' <br /> I SEE SKETCH ATTACHED NO. ���L r <br /> .. .. . �. �,��ii�. . <br />