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I <br /> CHART NU. <br /> everett � <br /> i <br /> � + '`G2 �Fti�1�TINU <br /> � � � <br /> � � �; � � � �� �� :_,, <br /> City of Everett ;� ,;; G o ' <br /> �• ^ c' �'� .> 3 .a u.; i ::r <br /> �Y �� � K. .. :i nl i�4 t� � <br /> �� � tla :�i <br /> y , ,? �; .., <br /> ' �ewer �pplicat��r�;��d��;r,��.�;� :� <br /> :;• zy< � - . �=, �,� ;3 -, <br /> �ti, _ i � t- ? � '3 „'�� ,:E '= � <br /> r�o. 27649 DP.TE Ma.,.h ��, �oa:i__ <br /> Service a\ddress §� �OlII - lOth .*.�l W Utility Account No. <br /> P,q. Box 7o5i Permit Fee '�^ ^^ <br /> Billing Address <br /> Mukilten, Wn 9II�75 Connection Charge(s} 110.00 <br /> City, State, Zip — <br /> Gelec��^�a Total Fee "�a'�� <br /> Owner (Niortgagor) -- <br /> Ordinance 1171-II5: <br /> Billing Name aater 179.00 <br /> Connection By sm�r 471.00 � <br /> 65b.00 <br /> i <br /> Address _ Signed_ i <br /> Customer <br /> Phone Fl�?-n�96 � <br /> DESCRIPTION: Sewer District �°na Z i <br /> 1 <br /> Lot Block. Monthly Sewer Service ' <br /> I <br /> Plat B3m[�k Gle� n,sn fle�gfits I <br /> Unplatted Description _Monthly Sewer Constr. I <br /> — Trunk 110.00 <br /> Type Perrnit: :tew Connectf.nn <br /> Lateral <br /> Remarks: _ Abutting Lot Line <br /> i _ ft. j <br /> N, S, E, W <br /> I �I <br /> I � � <br /> Approved By �'P�� �' �P�' � <br /> City Engine=r � <br /> i <br /> IMPORTANT! Karyaret E. ttcleod I <br /> Issued By_ <br /> I CAL L 1-800-024-5555 46-HO U R S 'I <br /> PRIOR TO DIGGING <br /> i <br /> CALL 259-8011 FOR INSPECTION / � <br /> ��� I <br /> Inspection By � <br /> Date I nspected�� �-" 5U I <br /> , � <br /> SEE SKETCH ATTACHED NO. � ���� I <br /> � �I`�C;���_ � i �r.�`� ��� <br />