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everett <br />� <br />City of Everett <br />5evyer �pplication a�d Permit <br />N0. L64�Q DATE .Tar�tats •c voap <br />Service Address <br />1Ofi02 - 9th Dr S8 <br />Rilliny Address <br />City, State, <br />91S 2nd Ave <br />Seattle, t4A 98174 <br />Owner (Mortgagor? v r a... ' �i�-�- <br />Bi!�ing Name <br />Connection By — <br />Address <br />CHART N0. L �1'� B-S <br />�7. i,� �,l �/�1^���.�:> �/: YJ�rC• <br />� <br />'= <br />a <br />- ��- <br />s �,� <br />�o� <br />�': .� « <br />... --, . <br />��.��. <br />., � " <br />� � ..J <br />:J � :- �i: <br />� <br />Utility Account No. <br />Permit <br />Connection Charge(s►___ ��^ °� <br />Total Fee "'-"" — <br />Sexer Devi�opment Peo, Ord, 1171-85: <br />650.00 <br />� <br />/,' j , "� <br />Signed_� � / <br />� Customer <br />Phone <br />DESCRIPTION: Sewer District B�nd 2i7 <br />Lot Block Monthly Sewer Service_ <br />Plat <br />Unplatted Description Monthly Sewer Constr. <br />Trunk — <br />Type Permit: <br />Remarks: <br />IMPORTANT! <br />CALL 1-800-024•5555 48-HOURS <br />PRIOR TO DIGGING <br />CALL 259-8671 FOR INSPECTION <br />SEE SKrTCH ATTACHED <br />Late <br />Abutting Lot Line <br />N, S, E, W <br />Approved BY ATFRBD R 14ffiBL <br />Ciry Engineer <br />. � ,. _ ..i <br />Inspection By ` <br />Date Inspected � � � <br />No. 264�98 <br />Ii�SPPC i 1GI`: <br />