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CFI�aRT N0.— <br /> everett <br /> �a„��!s cico���;� y 3 0�8� <br /> � <br /> City of Everett <br /> Sewer Appiication and P��rrx�it <br /> NO. ��7ZG� DATE au�y ir4 ioa� — <br /> Service Address aa�� i�th *+* ca Utility Account Mo. <br /> Billing Address sA�. Permit Fee�&, <br /> City, State, Zip �*.tc_ ma qa�pa Connection Chargelsj . <br /> Owner (Mortgagor)��i?+�� �r _ Total Fee�f�g <br /> 3pecial 0'tility Pee Ord. �1171-85 <br /> Billing Name S — — NBtCT 179.G0 <br /> sever Y7�cBII 471.00 <br /> Connection By r t u� G50.00 <br /> 713 SE Everett Mnll Hay j <br /> Address ����,5'� � Signed — <br /> C�slomer <br /> Phone '+s� 65A6 — <br /> DESCRIPTION: Sewer Distri,:t <br /> Lot 2� Block Monthly Sewer Service <br /> Plat *'-� •>'w �s <br /> Unplatted Description Monthly Sewer Constr. <br /> Trunk 330 00 <br /> Type Permit: taev Connectio�t <br /> Lateral 07/13I(i7 i0s0aptS qOppB6ih39 tBkk <br /> 1 <br /> Remarks: Abutting Lot Line �+t79018�dt3 <br /> N S E W Y[dl9°li�i73 fL <br /> _ t- �il ,G � <br /> 1{GUC��:uG.l <br /> SI_l,"cF: v30.[Ml <br /> lkC)IlI +.30.Otl <br /> i.171-5 �u50.tIU <br /> Approved By���.��----- <br /> . <br /> GN1TL'R SbO.OD <br /> IMPORTANT! Issued By ��UOIf3�7l1 <br /> CALL 1-600�42A-5555 48•HOURS �' <br /> PRIOR TO DIGGING f�[.G x`w.i,U <br /> tiE "�8.�?l <br /> CALL 259-8811 FOR IWSPECTION F' .`+�. :ii �.:�.6U� <br /> Inspection By �. � � ' ��' � <br /> � �`l.Uil <br /> Datelnspected i�'�� . '�� <br /> SEE SKETCH ATTACHEG «��-�� r�(j�i..U��263 <br /> INSPGCIION <br />