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i' <br /> � <br /> I <br /> I <br /> i <br /> , <br /> , ':;.;; <br /> ���, <br /> i� <br /> j 7 <br /> I ��, <br /> d <br /> CHART N0. � _`i <br /> evereri <br /> ��vT i� �c�T ItJC� <br /> � � ' ZS' £ft <br /> City of Everett <br /> Sewer ApRlication and Permit <br /> N0. L7102 DATE Merch Ei, 1989 <br /> Service Address Q7.15 5� sno T,� Utility Account No. <br /> Billing Address �,�n ,n+�ivd. AZ273 Permit Fee 3';.OU <br /> City, State, Zip y� roi�y�y� y�n ggpZ� Connection Chargels) tdone <br /> Owner (Mortgagor�_yy�� Buto cnd Caatics Total Fee 30.G0 <br /> Utility Developc:ent Fee Ord. 1171-E35 <br /> Billing Name S�yy� vater 179.00 <br /> sewer 471.00 <br /> Connection By �- 650.00 <br /> Address g� Signed , ----. -- - - <br /> Cusromer <br /> Phone 392 9�95 <br /> l��i(h;:B`.' , �.'pi i f 1111V1E1�t?i� i: e i <br /> DESCRIPTION: Sewer District <br /> Lot 14 Block — •,�n,;,7��� <br /> Plat r_...,.,�.�.,,� Monthly Sewer Serv(�"ie� t ` 1 <br /> Bluff <br /> Unplatted Description Monthly Sewer Const�.�,j_'' �"�'�� <br /> 6(�UOUd�;'i <br /> Trunk �,�i��t:l: i5(I,ptt <br /> Type Permit: Ner Connection �����"a' o�� <br /> Lateral +'�-I:d� 5i?,.Cu7 <br /> . i l_7•) t•JJ.IbJ <br /> Remarks: �l � <br /> h'ew Connection Abutting �ot Line ;����. ",',.�'�� <br /> (, :�l.�;i{ .....,t� <br /> N, S, E, W .- , ft. <br /> !'d�'IUY t;TJ.r:!1 - <br /> fIIItC�: i�C?.-iF�.i?') <br /> Approved By ALRxE:D x. TttERL <br /> ' CitV Enginecr <br /> IMPORTANT! <br /> Issued By susv ttauaen <br /> CALL 1-800•424-5555 48-HOURS <br /> PRIOR TO DIGGING <br /> CALL 259-6811 FOR INSPECTION f <br /> Inspection By -���� <br /> Date InsFected �'�"�� <br /> SEE SKETCH ATTACHED N0. 27102 <br /> If,��r�: • ; ,r�, � <br /> �_L _. <br /> I <br /> � I� <br />