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HnH <br />��� <br />m�x <br />C, H <br />9HN <br />r <br />y�H <br />�e c� <br />H� <br />� VJH <br />x <br />OHd <br />H�g <br />G�� C❑] <br />� H lTJ <br />�yH <br />� � �� <br />zH[�i� <br />HOfn <br />evereM� <br />� <br />City of Everett <br />TQ <br />Sewer Ap�alication <br />N0. �v��o DATE <br />POSTI�G._ �� �' �'- <br />-c <br />_ c -'� .i �v :� '� <br />�. _ - _ i� <br />and� Permit i x;=j Y� <br />-( J ..1 -� � .'1.,1 '� � . <br />� � - � � � � � .J <br />�unc `rs;~19ESB ._ ._ .: � <br />Service Address 9504 7*h �ve SF <br />Billing Address p � �Y iooa <br />City, Sta+.e, Zip �.werete wn 90��� <br />Owner (Mortgagor) r.� e�o M:e�t znr_ <br />Billing Name S- - <br />Connect�on By �Ya�' — <br />CHART N <br />��;���: <br />4�:;�i�• <br />.nwi;': <br />:� �. <br />Utility Account No. <br />Permit Fee 30_nQ <br />Connection Chargel5) ���'+� �Q <br />Total Fee_ <br />Ordinanco 1171-85: <br />vratar 152.00 <br />sower 400. 00 <br />552.00 <br />Signed <br />Cusmmcr <br />GESCRIPTION: Sewer District � � TTT _ <br />Lot Block Monthly Sewer Service <br />Plat <br />Unplatted Description � stLachad Monthly Sewer Constr. <br />r_.._�. 514.80 <br />Type Permit: „ <br />Remarks: <br />IMPORTANT! <br />CALL 1-800-424-5555 M18-HOURS <br />FRIOR TO DIGGING <br />CALL 259-8811 FOR INSPECTION <br />SEFSKETCH ATTACHED <br />Lateral 616.59 <br />Abutting Lot Line <br />N, S, E, W, <br />Appro�ed By zrcrzan� m�mnr <br />Cily Fngincer <br />I ISSUBd By�ugaLB�r �� Od <br />Inspection By. � <br />Date Inspected � �y �'� <br />N0. 26728 <br />If�'�I"cC i�iuP�i <br />