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, � `:: <br /> , <br /> , <br /> ; <br /> I <br /> �: <br /> I ;'� <br /> I � <br /> CHART NO. <br /> everen �c-t� � c. �+i=��chvt� <br /> e ��_ 2�_ �<< <br /> City of Everett <br /> Sewer Application and Permit <br /> N0. Z r �O� DATE I <br /> . �-- <br /> Servir.e Address �7-07�e; ���,�y�— Utility Account No. <br /> Billing Address � •--• �� : - -- r+--�. g���3 Perm�t Fee �]_60 <br /> City, State, Zip � .._�ygy�.� Connection Charge(s) b,nn�._ <br /> Owner (Mortgagor)_p���_���� �g�}e� Total Fae 3t'.CO <br /> Utillty Uevelopment Pee Ord, 1171-85 <br /> Billing Nar.ie ,�.--_ vater 179.00 <br /> aewer 471.00 <br /> � Connection By �_ 650.U0 <br /> I Address_ ___ Signed - __ <br /> Cusmmer <br /> Phone <br /> �'�� 'q:,'./ti`.i '�.'�SF'ii �M�iJEiN4��1� Y:;i:i <br /> DESCRIPTION: Sewer District ._ _ <br /> Lot ie Block ' i�12'Ift)1 <br /> Monthly Sewer Servi;[F <br /> Plat 6taea���el�€€ ���"c . 9..:+l1. J <br /> Unplatted Description Monthly Sewer Cons��?1-5 sn`U.Uit <br /> �tlliy(��16�{Ei <br /> Trunk L(.DG 's4;i'i.i;t� <br /> Type Permit: yer Connsction r� �'' �-�• <br /> Lateral �£t'}{ L��'.`�11 <br /> ..� .�-i.�U <br /> Remarks: !: ,yG'Gy �,i5,Up <br /> — Abutting Lot Line ������, f�p.fk1 <br /> __ N, S, E, W ,. , ft. <br /> l!i�i Ef•:� :5i1.00 <br /> Cll:l.i� ;:l�i.`h.t}V _ <br /> Approved By ALFRED A_ 'PSEAL <br /> City Enginecr <br /> , I":iF�RTANT! <br /> CALL 1-NCU-024�5555 48-HOURS Ir.sued By 5usv ?Iauc�rn <br /> PRIOR TO DIGGING <br /> CALL 259•8911 FOR INSPECTION <br /> Inspection By � <br /> Date I nspected �'�d( <br /> SEE SKFTCH ATTACHED No. 27101 <br /> � ._. - . <br /> I;;' :, : -; i :t_�i � <br /> _ � <br />