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CHART N0. <br /> everett � �;��� <br /> � 5-��-90 <br /> City of Everett <br /> Sewer Application and P�rmit <br /> No. 27406 DATE Hcvexiber is, i9e9 _ <br /> Service Address S'»A ���� *�„------ Utility Account No. <br /> Permit Fee 30.00 <br /> Billing Address�G98 <br /> Connection Charge�s) Z�0.00 <br /> City, State, Zip <br /> Total Fee 30.00 <br /> Owner (Mortgagor) ! <br /> Utility Developcaent Fee Onl. 1171-£15 I <br /> Billing Name uater 174.00 <br /> aewec d71.00 I <br /> Connection By - 650.00 <br /> Signed � i:::;�}�tx� •,.�zc�� nnn,,n,�z+�:;;. <br /> f\d�(e55 - Customer . <br /> i <br /> ��i�[NJUb51.') <br /> Phone - Ifial�? >hQ.tYl <br /> DESCRIPTION: Sewer District r „--� r�ond Ii — <br /> �k�iR ::<U.ru� I <br /> �ot_ 5 Block Monthly Sewer Serv' _ „ , _ <br /> Plat_., 11'71-5 5o:�.UO � <br /> Unplatted Description Monthly Sewer Const(���wgy. i <br /> t;ll'A' 7�`.;l)9.i10 <br /> Trunk� �0;�r��— <br /> Type Permit: Iiev Connaction — Nlit:F� Y��F��x� <br /> Lateral <br /> t�riwr; ���n.cn� <br /> Remarks: Abutiing Lot Line i,��{'i.;;. S16`,?:'.:AJ <br /> N S E W ft. <br /> I <br /> Approved BY �, <br /> c <br /> IMPORTANT! Issued By <br /> CA LL 1$00-424-5555 48-HO U RS � <br /> PRIQR TO DIGGING / I <br /> CALL 259-8811 FOR INSPECTION }� G I <br /> 0�/� � <br /> Inspection By_f� <br /> ��1 sa <br /> Datelnspected <br /> SEE SKETCH ATTACHED <br /> No. 274R6 <br /> INSP6CTIOPd �i, <br /> �� <br />