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_�, <br /> ,. <br /> ;:�� <br /> , .;� <br /> � <br /> � <br /> CHART NO. <br /> Ieverett I <br /> � ( <br /> City of Everett <br /> Sewer �4pplication anc,� Permit <br /> N0. 26`�Z� DATE _ Seo eat�er 1 14a7 <br /> Service Address 3315 15rh St. Utility Account No. <br /> IBilling Address 2006 N. 5tata St. Permit Fee_ 3p.�� I <br /> � City, State, Zip Ael?ingham, 'r7A 98225 Connection Charge(s) tisrthen� I <br /> IOwner (Mortgagor) IdildPr ('nnst�n�r1-�nn [`n , rn�, Total Fee 3g�gp <br /> Billing Name SPec1al Utility Fee, or3. 1175-EtS: <br /> ca,� <br /> uator 152.00 <br /> Connection By �wme sewer +400.00 <br /> 552.00 .__. _ __ ___.----- <br /> / ;. <br /> Address Signed _%� <br /> I ,-� Cusmmer <br /> IPhone 7�3-2p6�� _ <br /> IDESCRIPTION: Sewer District �t}u,�,,� <br /> Lot Block <br /> Plat Monthly Sewer Service <br /> Unplatted Description sae �ttashsd Monthly Sewer Constr. <br /> Trunk <br /> Type Permit: <br /> Lateral <br /> Remarks: <br /> Abutting Lot Line <br /> N, S, E, W ft. <br /> i::� ii.�. _ :. _;i?i I�iil'-�I:;.�`-.� . , � . I <br /> i�:I;I�t I i_:.,..LI"� � <br /> � <br /> Approved BY T��� �� •f� R ` '�1F � i <br /> t.Gty' 'FJ79incer �. ...;1: i <br /> IMPORTANT! � 1` " '' <br /> I CALL1-800�424-555548-HOURS Issued By t�Ri�g�Xpt �`'��'r�oq� ��. �II <br /> VV�.; � r <br /> � PRIORTODIGGING I,;;I,:' �i,�'uu.i��.� I <br /> I CALL259-8811 FOR INSPECTION ;���;�;,j-"��`y. : <br /> i �.EI � r: • p.Cki i <br /> I InspectionBy � . ^`�•`;` .�i�i I <br /> I Iiii):6 ':�'1i.':�� ! <br /> Date Inspected l- 3`�c <br /> SEE SKETCH ATTACHED No. 26324 I <br /> � If.'__ , "; i�ir���,. <br /> � <br />