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� everett r CHART N0. <br /> I � � <br /> � :"ErJT TG CN5'�CTiiJfr <br /> In �_y.87 <br /> City af Everett r � <br /> � � <br /> b <br /> Sewer Appla�ation c�nd Pe ,r�t� �:� s <br /> �, :� �.. _ <br /> Q � � .�: �: :. y <br /> NO. ��`�02 DATE n..t.,r,� �n. IORF r <br /> Service Address 12217 liitn �,�, S F Utility Account No. <br /> Billing Address S,am� Permit Fee 30 00 <br /> City,State, Zin _ v,,.,,,,�t,,a aa�0� Connection Charge�s�_ 330.00 <br /> Owner (Mortgagor) �arv L O�c.-�, Total Fee 30.00 <br /> Billing Name � _ Ordinancc li7l.—t?5: 5400.00 <br /> Connection By _ <br /> Address , <br /> Signed__ - • <br /> Phone Cusmmer '— <br /> DESCRIPTION: Sewer District��.., : , r� <br /> Lot Block I <br /> Plat Monthly Sawer Service <br /> Unplatted Description _Monthly Sewer Constr. <br /> Type Permit: tlew Car.nectiori Trunk <br /> Lateral <br /> Remarks: I�ai:{ t;y I_SL 71.• ;r�a�cn:�:r�t. i'ail I <br /> :rivoice r'or si�e sr-se: ca�etructicn (;inred �butting Lot Line <br /> ;y N, S E W ft. <br /> 1C<7�'+ i]iGfl•'i'Ly Cit:;:[;I'� i:iti�CiC' iZ/i <• t�; <br /> . "lic I <br /> Cella Stren� <br /> 3�r1U i.e.:d_ SC. tiL't;?LJ i;. :;;" <br /> _�� <br /> [v�rett, tit'r', �(;;;�1 Approved By <br /> C�ty Enpinee� <br /> IMPOR7ANT! �,-,, ,;... _ . , <br /> �, ;;:n:t. f . .u..:.. <br /> f,ALL 1-800-424-5555 48-HOURS Issued By <br /> PRIOR f0 DIGGING I <br /> CALL 259-£3811 FOR INSPECTION <br /> _ Inspection By � <br /> Date Inspected I �-1 � lY� , I <br /> SEE SKETCH ATTACHED No. 25902 <br /> i r��sr-�c�r�c,;.� � <br /> � <br />