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CHART NU._ ' <br /> everzct <br /> I � -�c� �-riTa� <br /> ; 5-��-�>o <br /> �ity of Everett <br /> i <br /> S�v�er Applicatoon and Perrv�ifi <br /> N C. Z��Q 7 DATE Aauem�e� �6. �s59- <br /> Service Address 520� iStA no�- w Utility Account No. I <br /> i <br /> iBilling Address 16oao Mtn ��P IIlvd. Permit Fee , i <br /> i City, State, Zip Hiil crf,at, wz �ir,m� Connection Charge�s) ` . <br /> � <br /> Owner (Mortgagor� rro< z}. �r��.�G Total Fee _ <br /> I <br /> Billing fvame s;,rca DCility Devolotnaent Fee Ord. 1171-85 <br /> wator 179.00 <br /> Connection By c,.,�.4 sewer 471_OU I <br /> 65p.00 <br /> / <br /> Address_ snAm Signed _ �� . <br /> I C e40 d/���� � .�.. _ �i .�'.nman�•r �,��: <br /> ! <br /> Phone 7�,_ma�� _ <br /> ,�•.;(:ah�:;`�::�. <br /> DESCRIPTION: Sewer District 4��BOh� �I �'`��"�'�� <br /> i:f�'�c1 � <br /> Lot � Block � �u; g��,�,.�0 <br /> iMonthly Sewer Serv�'�r�' <br /> Plat - Wi11oW Aun � �i�:t•1:.1.T� <br /> i Unplatted Description Monthly Sewer Con}�r�:}� ''''�'��' <br /> ;��.�� ���! ^.�fJ.���c <br /> �4 <br /> Trunk R SRi;li s>.��.:;i! <br /> Type Permit: �;t � , ti . <br /> ��i Lateral iiu0i3�730? <br /> - .,� ; : �.�.�u <br /> Remarks: Edli7 J( �2^.U..kl <br /> Ahutting Lot �ine , ,. „ <br /> � 1 i'�1-�, �t.,,U.UU <br /> N, S, E, W. - -. - ft. � <br /> . ._ . �.�.�� .. _ � <br /> Approved By <br /> � � .. . <br /> � IMPORTANT! I <br /> ICALL 1-800-424-555548-HOURS Issued By <br /> � PRIOR TO DIGGING <br /> i <br /> CALL 259-8817 FOR INSPECTION � <br /> I Inspec[ion By�"�"�� <br /> I Date I nspected �''z ' Su <br /> SEE SKETCH ATTACHED No. L 74U j <br /> i,�::; :,,.��o,�, <br />