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i <br />�; :.,:: <br /> � <br />, � :., <br />� <br /> l <br /> � <br /> ; <br /> everett CHART N0. <br /> S�.T 'f� r"'bs-ri� <br /> � � ' ` ` eot <br /> City of Everett <br /> I Sewer i4pplication cand Perrnit <br /> IN0. G7�79 DATE rucust l0 19£i9 <br /> , � , <br /> I Service Address � +=q�zt� s� Utility Account No. <br /> IBilling Address P•O. Box 991 Permit Fee Z•�� <br /> City, State, Zip Port Angeles, HA 98362 Connection Charge(s) <br /> IOwner (Mortgagor) �vid SchruecIer Total Fee z.50 <br /> Billing Name Same <br /> t <br /> Connection By L•ti+ezett ConsL & Exc. <br /> I Address_ 14220 S. Lk Cral;a I,le Msvl Signed_ <br /> I, <br /> � Cusromer I � ,� <br /> IPhone 652-G601 �i <br /> I DESCRIPTION: Sewer District I� � <br /> I Lot » �u, ��in Block_ .Z7 I :; <br /> � <br /> iPlat rt+,+ h a�� r„w�, n • - Monthly Sewer Service j i �� <br /> ; Unplatted Description_ MonthlySewerConstr.��� �� � " �����"���°' "' ' I <br /> I ii�Jt�!�['i:,i s. <br /> I <br /> Type Permit: Cap off Trunk_ ,,�44-:. _ <br /> � 'ri]l'1Q�t�1'rlJ �� . <br /> Lateral ,, ��,�,�� ,.� � • <br /> Remarks: Cf�i:Cl; ;;.i:�! � <br /> Abutting Lot Line <br /> N, S, E, W ft. <br /> � � <br /> I <br /> I � <br /> Approved By ALFRi;D R, TIiTSAL � � � <br /> Ciry Enginecr I ', <br /> IMPORTANT! <br /> CqLL 1-800-424-5555 48-HOURS �ssued By Sua�� tiauoen . � �. <br /> PRIOR TO DIGGING ; i <br /> , I � <br /> CqLL 259•8817 FOR INSPECTION � � , i , <br /> Inspection By / � <br /> Date Inspected_ d�-� � ��cl <br /> SEE SKETCH ATTACHED NO. 2���� <br /> I[.,,_. _ ;�i i�� ' � <br />