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CHART N0. <br /> everett �_ ' � s�r To c,�i9�r..��r <br /> � �v�- /o�3�tT6 � <br /> � :� r? <br /> r-. C <br /> o s <br /> � � r <br /> City of Everett � r o . � � '� � y' '� �' � $ � � <br /> Qu � � � r� .. Ji .. �, c � i�? � .`�-. <br /> � � y � a a G �� '. ei+ ca ni M �'� <br /> . W. • �� �,.: <br /> M ' in ^ � <br /> Sewer Application and Permit � - = � _ ,Q 2 � _, � �: <br /> � � `� � � :� os �' � � p � � � w <br /> � ..j ��tS u '� � :J1U7 � S w � � µ; �,. <br /> � ..z 9 � i'J_ .'Ji. '� ?- :3 J :_. _� �+ iz � � <br /> NO. 25��� DATE ��'�e 13, 19AG <br /> Service Address 12015 - 1 {th DR SF Utility Accuunt No. <br /> nz„a „ ur _ Permit Fee 3� 0'1 <br /> Billing Address �7q�'� ,:-, <br /> City, State, 7_ip Connection Chargels) 33� 00 <br /> Owner (Mortga3or��f.r Totai Fee ?0 �n <br /> Speclal Sewer fees Ord 1171-95 <br /> Billing Name $gp�e HateP 179.8P <br /> Sexer 471 .Oo <br /> Connection By 65d.00 <br /> Signed <br /> Addff55 Customer <br /> Phone <br /> DESCRIPTION: <br /> Sewer District Dond III <br /> Lot_ 7 Block Monthly Sewer Service , <br /> Plat cii..s�� w�e w,std — <br /> Unplatted Uescription_ Monthiy Sewer Constr. <br /> Trunk 330.�D <br /> Type Permit: ,yey� r,onn��ction <br /> Lateral <br /> Remarks: Abutting Lot Line <br /> N S E W ft. <br /> IApproved By <br /> IMPORTANT! Issued 6y <br /> ° Srannan <br /> CALL 1-800-424-5555 48-HOURS <br /> PRIOR TO DIGGING <br /> CALL 259-8811 FOR INSPECTION � <br /> Inspection By <br /> Datelnspected 7-3�� <br /> SEE SKETCH ATTACHED <br /> No. 2�695 <br /> I`iSP�C�i iOi�J <br />