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CHART N0. <br /> evereR ^- ..;f- ^.:',,.;;� <br /> _. - ,( �n/�/s a <br /> e <br /> City of Everett <br /> Sewer Application and Permit <br /> N0. ��0�� DATE c nor <br /> 3�t���rr3�- <br /> Service Address �paa�=_.5� ,r,� � Utility Account No. <br /> BillingAddress ++++• •.- �+...- ,... . �Pe[jg�F�ee 3o.D0 <br /> City, State, Zip �y��� 1�,_gQps� Connection Charge�s) 330_�0 „ <br /> Owner (Mortgagor�_ p---���� �� Total Fee_ 30.00 <br /> Billing Name �,� _ Utility Fee, Ordin�np 1172-95: <br /> rater 179.00 <br /> Connection !iy ___ ee�r, 471.00 � <br /> ; i /�0. ,! <br /> Address_. _�_C/ , " � <br /> Signed <br /> ��� Cusiomer <br /> � <br /> Phone gg5 3999 <br /> � <br /> DESCRIPTION: Sewer District aond iu <br /> Lot p Block l)],'.>eiF37 5�03Pri UOOA#3f31�t 1S:rt <br /> Plat Monthly Sewer Service <br /> Unplatted Description Monthly Sewer Consut r�1;5Si <br /> :,LI'1G $473.qp <br /> Trunk f9_fi['i 45S.W <br /> Type Permit: .,Qy Ccnnectirm _ '>'. <br /> Laterel ��'t{ ��� "�'�� <br /> Remarks: E S(a'CH ri`i.(� <br /> Abutting Lot Lire�+��; ��p,{y} <br /> N, S, E, W;tryy�:�fptr� ft. <br /> ��41E.f? t?0,l'lU <br /> [kq)l I1 3,:�J,Qp <br /> 1Z7i-5 �tS:i�1.Ql+ <br /> iiOiiUU52;7 <br /> Approved By at.Cr�nori lt_ �9txi1 <br /> Li�Y.��9��i�7�.�.i) <br /> IMPORTANT! <br /> CALL7�800-424-555548-HOURS ISSUedBy ll.arqaret F._ Mci.�ed <br /> PRICR TO DIGGING <br /> CALL 259-8811 FOR INSPECTION <br /> Inspection By� <br /> Date Inspected Z��`� �c�'�� � <br /> SEE SKETCH ATTACHED N0. 26014 <br /> If�'SPECTION <br />