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� � � <br /> � � x <br /> 9HN <br /> r <br /> � � � <br /> � H � I <br /> � H � I CHART NO. — <br /> y y r evereri <br /> xx[�7x � <br />� O H l7 � I <br /> " TO f'OSTING t-z�-�,� i <br /> �� g � - <br /> � y � City ut Everett - _ _ - = i <br /> t-' HH ... . � . .. _ <br /> g � . . , i <br />; �� � Sewer Apphcation and Perr�nit . i <br /> � ; � . _� I <br />� - _ � � V � <br /> Hoc�i� NO. ZTJ�OO DAiE �•� Lrs�ry 1 ', 199D <br />� <br /> i <br /> Service Address iJOJ ]�t,i Avi;�,�,}�.,..;__ Utility Acr.ount No._ I <br /> j BillingAddress ] '�� ' '��-�� ^r �•� PermitFee 3 %• �"' I <br /> I <br />� City, State, Zip -=ilev�c, 'nA �G�7il� Connec!ionChargels) �"�� lr,:t:�ci un �27-i�5 <br /> Owner (Mortgagor) �Z-.;� F�o•� i '� �:i Y� � _ Total Fee ��: .����' <br /> Billing Name '��"�=' _ I <br /> i <br />� Connection By �'iii:�=��:'� <<�: '�i=. <br /> ��' Address 'an�� Signed — <br />'� i Custamer �� <br /> I I'•:•' Phone d��_' t'Si" -- <br />� ��� I DESCRIPTION: SewerDistrict a�:.i rr7 i <br /> ��� � Lot —_ Slock I <br />'i Monthly Sewer Service I <br /> p� Plat <br />' 1� 1 Unplatted Description Monthly Sewer Constr. ; <br /> 0_I � <br />�� Trunk <br />� �� Type Permit: v� cou!�ection <br /> Lateral <br /> I ' I Remarks: <br />� Abutting Lot Line <br /> i �� N g, E, Nr ft. <br /> �� s <br />� ��� � _ i <br /> � APProved By ;-. ,.,.� . _ ._.r I <br /> Ci�y Engineer <br /> i <br />� �- �" IMPORTAPdT! <br /> Issued By ; �=•., �,,-..-,., I� <br /> � CALL 1-800-024�5555 46�HOURS �i <br /> ! PRIOR TO LIGGIN3 <br /> I� � <br /> CALL 259-8611 FOR INSPECTION �' r — ! <br /> �� �� / �`/�,//�, � <br />, Inspection By( CiE' �/`- <br />' Date Inspected C, � ``C� <br /> SEE SKETCH ATTACHED N0. L�J�O <br />� � <br />' I�;"��C',lG��i I <br />