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; ,j,: <br />iG:. <br />CHART <br />e.�vereti <br />� <br />City of Everett <br />�� ��o�� � <br />-3 -�, --qaG <br />Sevaer ��ppli�atic�n an� Perenit <br />N0. ` 6 r� 0 DATE July 29, 1?Ete <br />Service Address_ip9p�� 9th�rN,�r. Utility Account No. <br />Billing Address � 0 Sox SQ2 <br />City, State, Zip_Bko StFvrn�,_.t,i� 98�,fJ <br />Owner (Mortgagor) .+�i�m. G c,���.b <br />Billing Name_ g�g <br />Connection Bv cyme <br />Phone �3-3023 <br />DESCRIPTION: <br />Lot 1 <br />Plat T.arann Pa <br />Unplatted Description <br />Type Permit: <br />Remarks <br />Block <br />2:ex Connection <br />IMPORTANT! <br />CA L L 1-800-424-5555 48-H 0 U R S <br />PRIOR TO DIGGING <br />CALL 259-8811 FOR INSPECTION <br />SEE SKET.Cfi ATTACHED <br />Permit <br />Connection Charge�s) 339,-E9 <br />Total Fee <br />Special otility Fee Or�. 1171-E35 <br />wa..er 179.00 <br />sowor 471.00 <br />GSO.GO <br />Signed <br />Customer <br />Sewer District g�� IIond IIZ <br />Montlily Sewer <br />Monthly Sewer Constr. <br />Trunk �s,.�„33Q.00,,:,�_ .;i';A1{'fE'Eri `i.: <br />Lateral <br />i� �. �.! � , <br />bhaTl:C -�i.li.�: <br />Abutting Lot Line4.�j�.,�. r;� <br />N, S, E, W,-., ft. <br />I;I{0111 a':�?:I;.i!U <br />i 1 � i , ;,�';Il.�il <br />lUi�iu: •:i ;'_;�i <br />11.G�: i:':K•.iiil <br />Approved By . <br />, r[ ngin 4r ` <br />; u I, I :'ij,!;fl <br />�: !�:.'�tl � .;;ii <br />Issued By , <br />t�;;VIP' ;?i).Gn <br />�:l7ii!'.I:. :: i ;:� ;�.c, � :i 1 <br />Inspection B�-�.��, �z�/ /,'7� <br />Date Inspected C� ri � � <br />N0. 2�780 <br />If:S'r'GC i 10f`! <br />