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CHART N0.___ <br /> � everett <br /> � � , S6.vT Tn <-.vA/'7..+/G //-/Z-$6 <br /> � <br /> City of Everett $ <br /> s` � � <br /> c. w <br /> Y%? <br /> 5ew�r ��ppli�ation and Per.r�►�� "� _ <br /> �—: � � C'�..! ��.—~r ':.�. <br /> 25�76 = R �' <br /> wo. �arE �,���,r ,�. �9� <br /> Service Address 12313 – ldth Dr. s� Utility Account No. <br /> Billing Adc+ress Sema _ Permit Fee 30.00 _ <br /> City, State, Zip Everett. WD 98209 Connection Charge�s) 330.00 <br /> Owner (Mnrtgagor) Gavnel L. Revkdsl Total Fee_ 30.00 <br /> Billing Name Sama Ordiaance 117I-85: 5471..00 <br /> Connection By <br /> Address _ _ Signed <br /> Custvmer <br /> Phone _ <br /> DESCF IPTION: Sewer District Bond IIZ <br /> Lot_ Block <br /> Plat__ _ Monthly Sewer Service <br /> Unplatted Descrip[ion Monthly Sewer Consir. <br /> Trunk <br /> Type Permit: —"— <br /> Lateral _..� <br /> Remarks: p�� bv LID 719 Acrzaement. MaiZ invoicu for �� <br /> Abuttina Lot Line <br /> alda aever constructicm (eia�ed�iy leqnl u r• N, S, E, W__.__ ft. I <br /> owner) before tdov�anber 21 1 n6 0: <br /> Celia strana <br /> 3209�rdmr Stre�• Approved By P,I.FAY.D R. THB.AL _ <br /> EVBL�Gtt� WA 96201 Ciry Enginuer <br /> IfV7PQRTANT! <br /> CALL 1�SUU-024-5555 48-HOURS Issued By Dlaraaret E. McIsorl <br /> PRIOR TO DIGGING <br /> CALL 259-8871 FOR IIJSPECTION <br /> �� <br /> 'nspectio�.B�r � <br /> _ Date I nspected�!'�'g� <br /> SEE SKE7CH ATTACHED N0. �`�0�9 <br /> II�!SPGC"i!0?d <br />