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..,,F <br /> i <br /> � 7 <br /> ,_"� <br /> CHART NO. <br /> � � I everetl <br /> o�� = TO QOSTING U-_��Z — <br /> � `° �/ �: <br /> ��F]� City of Everett � � � � `� � � �� � � � ; � <br /> '9 1"1� �a' �. ,� Q •: p j o G O T � up � . <br /> �.: r. � <br /> � • r •n r � ... � t�' i� <br /> ��� Sewer A��pldcation a�c�P�rrinit=° � � � �' � �� � � <br /> r <br /> -. �v� '� ci 'a .� .� .� ..7 §' � ^� � � '20 [,;.,' <br /> Q�� L�3�Q r , � � y n�ie � � � ` s � ai.T :x � s '� i •: r'� — <br /> � � NO. DATE � _ � i <br /> !H <br /> r►+� Service Address_—s�"^ °•'� '�^ °� ^��g � Utility A�count No. <br /> � :�1615 ?i?. 7.90th St. , C110 <br /> �� Billing Address—�La"�.�t'��..-..=---�`�— Permit Fee 30.00 <br /> W��odinville, v11. QR�J72 V Collected on A2�331 <br /> City,State, Zip_ '�6�Y�I3EIL�2Ci^`Y*�7n onnection Charge(s) <br /> �rq r_ckzat.il ^acific 'xvelopn^nt, I�c. <br /> ' ' Owner (Mortgagor{_ �"'�'"NrY''s�%•n•�. Total Fee 3Q•�� <br /> Billing Name a�.�� <br /> i t ) <br /> II Connection By �������"z���t''� /� I <br /> IAddress ��i�4�4�i'$+iX'++'��'�x�''�a�K���, Signed_ ' Customer / <br /> � Phone �A�1`d�x 4;ri-"4o1 _ j <br /> I/C <br /> � DESCRIPTION: Sewer District <br /> i , Lot Block _ Monthly Sewer Service ( <br /> �� Plat <br /> I ��� Unplatted Description Monthly Sewer Constr. <br /> i <br /> Trunk <br /> Type PermiC <br /> i �_ Lateral <br /> Remarks: Ahutting Lot Line <br /> N g E W ft. <br /> �� <br /> � — <br /> � � I I Approved By �"�n A. TAF.AL _ <br /> �� � Crty Engineer <br /> � IMPORTANT! Susy �tau�en <br /> Issued By <br /> 0_1 � CALL 1-800�424-5555 48�HOURS <br /> � PRIOR TO DIGGING <br /> ' CALL259-8811 FOR INSPECTION /7 /'� / ��� <br /> lli l/ <br /> Inspection By �T <br /> Date Inspected�'��/�`�/5'� <br /> SEE SKETCH ATTA�HED r�o. 2733S <br /> ir�.��_crion� i <br /> ; I <br /> ji ' <br /> i . ' <br /> � <br />