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�y� <br /> :li� <br /> � <br /> :y <br /> � <br /> I ,9 <br /> 1 <br /> � � <br /> I r� <br /> 1'y <br /> � <br /> CrIART NO. � <br /> Ieverett �`-��� �-c, � �-�a«-,�tir;� <br /> l � z �- 2�� <br /> � <br /> City �af Everett <br /> � Sev►rer Application and Perr�it <br /> No. 2704� DATE Jaauar� �3� }n64 <br /> Service Address 472�o sth Av.+_ ea_ Utility Account No. — <br /> Billing Address 14�n iN RTlmsn n�e� �ZZ72 Permit Fee_��• <br /> City, State, Zip iestqu�, mn enro� Connection Charge(s) <br /> Owner (Mortgagor) Pac4fle- m,+: an.� �tl�s Total Fee . , <br /> 8illing Name sa�.,o _ L*PILZmY DE1�. PEs oRD. 11�1-e5 <br /> sratez 179.00 <br /> Connection By sewer 472,00 <br /> Sa�1N <br /> -65Q.00 <br /> Address �9a Signed ' � ` ---- <br /> Customer <br /> Phone 391 Q,^S <br /> DESCRIPTION: SewerDistrict_ �; i' i4 '�"'ti'i'-t'` " `i:i <br /> Lot S Block ' <br /> Plat Monthly Sewer Servipq���%•��.,,,�_;;__ <br /> �: ^it4A:it ?.-i�.i3ti <br /> Unplatted Description Monthly Sewer Cons�t�:;l.�} it::iL�.i�[l <br /> AOt�tiS4U7 <br /> Type Permit: Trunk �v,r;�; ��_. n< <br /> _ 1'l1:ii t<kS.�tl <br /> Laterai ;;�-,�i a:z �,� <br /> Remarks: �� u`��� '�'"��� <br /> Abutting Lot Line :: �.Rf.H i t'>;,,i�U <br /> N, S, E, W i.at+.w�' :,<IJ.�di ft. <br /> G��i�U"k�l;5 <br /> — 6�`i"ff:l' :�1).�;'ti <br /> C{tEUi SJ.<'�,� ._ ' <br /> Approved By FS.FPLD R. TTIF.W. <br /> City Engincer <br /> IMPORTANT! <br /> Issued By Susy Fiau�gn <br /> CALL 1-800-024•5555 48-HOURS <br /> PRIOR TO DIGGING <br /> CALL 259-8811 FOR INSPECTION � <br /> inspection By �«" <br /> __ Date Inspected_�"� - d� <br /> SEE SKETCIi ATTACHEU N0. L + O`'�`� <br /> ,:_: 15Cf, <br />