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CHART NO._ <br /> everett <br /> �. �,•�'� C/cw;�w� �?'�l��F <br /> � � <br /> City of EveretY � `� � L`�'., = � � � � = =? <br /> [Vb7rSiiY] �� O ppp v <br /> (-? :O �:t �•J + .-i i�d L7 M M {,'l in <br /> ^'� o�� tlT �:i. Na � M M `0 -� <br /> C�l '/. W x4 CJ <br /> SE�wer Appli�:atic;,►c�� and Perrri�t � L � �' <br /> z �2 _u � L� <br /> � �'ti.., ;� ,n, � �.. ��� � L+ J t�il �-� ,:r �j <br /> � ..d +� J . N � O � � G� C`� :J <br /> „ I� :.�t � y L � V •r Y <br /> 4��J Z� 4� �2 W i� .� ' L•: O � 3. 11" J L�, r� J <br /> NO. DATE _. �� <br /> Service ,4ddress 12231 - 14th Dr SE Utility Account No. <br /> Billing Address 22001 - 49th ave sn Permi. Fee '�� 00 <br /> City, State, Zip &otholl. HA 9A021 Connection Charge(s) <br /> Owner (Mortgagor) Summers C,�tnsf,.,_ Ina. Total Fee 30 00 <br /> special Dtil3ty Fee Ord. 1171-85 <br /> Billing Name ���^^ vater 179.00 <br /> seaer 471,00 <br /> Connection By SaAe 650.D0 � <br /> Address Signed_ <br />� Customer <br /> Phone 401-1005 <br /> DESCRIPTIOIV: Sewer District Bond IZI <br /> Lot 63 Block fvlonthly Sewer Service <br /> Plat <br /> linplatted Description �4onthly Sewer Constr. <br /> Trunk 3�0 00 <br /> Type Permic: u �. r +s <br /> Lateral <br /> Remarks: <br /> _ Abutting Lot Line <br /> fJ, S, E, W ft. <br /> Approved By nt�ttFn �_ �nr. <br /> Ciry Engineer <br /> IMPORTANT! <br /> Issued By M Y(�AYN P_ MrTanA <br /> CA LL 1�800-424-5�55 48�H0 U RS <br /> PRIOR TO DIGGI�lG <br /> CALL 259-8817 FOR IIJSPECTION <br /> Inspection By <br /> JDatelnspected ��I�I�7 <br /> SEE SKETCH ATTACHED NO. Zs��1- <br /> If�!�PECTIOf�1 <br />