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i <br /> I <br /> I <br /> CHART NO. <br /> everett <br /> ',,, � �n ��:,.-��� �-��:-��F <br /> e <br /> City of Everett <br /> Sewer Application and Permit <br /> NO. 2�`578 DATE �•-*�* 15, 1981t <br /> Service Address d27 109th Pl. Br Utility Account No. --- <br /> Billing Address 1914 a. 14th �107 _ Permit Fee . <br /> City, State, Zip Saettl�. Kw 981e3 Connection Chargels) . <br /> Owner (Mortgagor) r���� Total Fee 30.00 <br /> e;»clal Utllity Tee �d. 1171-DS <br /> 8illing Name s��. — wter 179.00 <br /> Nv�r I71.00 <br /> Connection By � 650.00 <br /> Address s.�a Signed <br /> 1 � a � /� � <br /> Cuslamer <br /> Phone u� p��+ <br /> DESCRIPTION: Sewer District Aond ii2 <br /> �ot e Block <br /> Monthly Sewcr Service_ <br /> Plat iMtn �edar� <br /> Unpletted Description Monthly Sewer Constr. <br /> -- Trunk aflutl I <br /> Typa Permit: „�„ ��tion � <br /> Lateral �95.00 <br /> Remarks: <br /> _ Abulting Lot Line <br /> N, S, E, W ft. <br /> Approved By � s R m�*. <br /> C�ly Enqineer <br /> IMPORTANTI <br /> Issued By Susv Haua.n <br /> I CALL 1�800d24�555548�H0URS <br /> PRIOR TO DIGGING <br /> CALL 259A811 FOR INSPECTION � <br /> Inspection By <br /> __ _ Date Inspected � Ii'�O `� <br /> SEE SKETCH ATTACHED Np� �oJ�o <br /> ��,: :'i � il(i�d <br /> � <br />