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il I <br /> � ; <br /> � ;� <br /> + �� <br /> I <br /> i <br /> I � � <br />` <br />� CHART NO. <br />� everett <br />� I ��T � �T��j <br /> E � � •zS•�q <br /> City of Ev�.^tt <br /> Sew��r Application and Permit� <br /> (�!�. � 1 ioU �/�TE Marrh O� Z.Q(J9 <br /> Service Address d727 5th Ave. �t. Utitity Account No. — <br /> Billing Address 1920 Na Gilman Blvd. 82272 Permit Fee �n n� _ <br /> City,State, Zip IscaQuah, WA 9U027 Connection Charge(s)_;,o��.,,o _ — <br /> Owner (Mortgagor) pacific Huta and Castles Total Fee ;p,nr, <br /> Utillty Daveloi.ment Foe Ord. 1171-85 <br /> Billing Name �e water 179.00 <br /> sever 471.00 <br /> Connection By �+� 650.00 <br /> Address Same Signed ----`" ' '— <br /> Customer <br /> Phone 392-9105 i11:'i�:s%99 qe��•;i iii:[;,i:•I:','::�i �::'s , <br /> DESCRIPTION: Sewer District , � <br /> Lot u Block :4)Elt Y3J.fAi <br /> Plat �roanxood Bluff Monthly Sewer Serv�ee� - :, �- � - <br /> Un latted Descri tion Monthl Sewer Con �rtu�`�"`� <br /> P P Y ��1)G 1�� .i,itf) <br /> Trunk i'� Cfi 455.Ck? <br /> Type Permit: ,. � , �'�• - <br /> Lateral B `:frCkf .k ;.`�1 <br /> Remarks: L�I�IHJ'�' r:`O.Oi! <br /> Abutting Lot Line �jp�;����„!_;,• <br /> N, S, E, W ��,,�c}: .,r_____� r�, ft. <br /> (7lEC?: =1`':;f,.Ot� <br /> Approved By. <br /> Q n fice <br /> IMPORTANT! <br /> Issued By <br /> CALL 1-800�424-5555 48-HOURS <br /> PRIOR TO DIGGING <br /> CALL259•8811 FOR INSPECTION „�� <br /> Inspection By •��"� � <br /> _ _ Date Inspected �-�-�'i _ <br /> SEE SKETCH ��'fTACHED N0. 2710� <br /> I��:;.'�iC;T!':)i; <br /> � <br /> � <br />