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i <br /> � <br /> � <br /> � <br /> � <br /> CHART NO. <br /> everett <br /> i � <br /> � . , , i'. I i.. ;- F' <br /> / <br /> � <br /> IClty Of EV@rett <br /> i <br /> I <br /> Sewer Application and Permit <br /> N0. GV�o� DATE �1r 29. 1988 <br /> Service Address 1006 lo9th at sa _ Utility Account No. — <br /> Billing Address i D � +4+Y soZ Permit Fee �-�• 30 00 <br /> City, State, 2ip �k• s ..+�■. � 9B�5A Connection Chargels) �70 00 — <br /> Owner (Mortgagor) wim c n.� � Total Fee �p,�+ <br /> Billing Name saee ��r 1171-95� <br /> r�tar 179.00 <br /> Connection By ��wr �71.00 <br /> 650.�0 <br /> Address Signed <br /> c�„�o�, <br /> Phone RS3-���t <br /> DF.SCRIPTION: Sewer District n.....+ � <br /> Lot �� Block — <br /> Monthly Sewer;tervice <br /> Plat Lar�en P�zk <br /> Unplatted Description _ n7onthly Sewer Cofi�Fr'!" '!'� �"�"�"� ���k1U1(R'S i Ci � <br /> Trunk i,�r�.?!.,'.�. »c_ee <br /> Type Permit' N�v Conn�ctian � f9.lu� ti .:t: .ili) <br /> Lateral PI_lq; i�iS.iM_i <br /> — ii:1:H t:.'tl.'.Ai <br /> Remarks: i �a.9y� �3,�,�� <br /> — Abutting Lot Line ' r <br /> N, S, E, WL t,Ffl� �S.,.OIi ft. <br /> Pt�iJ^' �. . <br /> :ilyMl..'r.7Hl <br /> 'JN�"C i .U.iM) <br /> I1Ailil !t';Ii.i�7 <br /> � APProved BY ���4�reen..pf:�A�i} Lr. <br /> dq�ro!r <br /> �.4�11 1' «.II.IMI <br /> IMPORTANTI ;;n;,,�,nt �i <br /> Issued By_►u.rn.�.� �,.�ai�— <br /> CALL 1-800d24�5555 48�HOURS <br /> i PRIOR TO DIGGING � I"� i.l. : i'dt•:�.Ik� <br /> ICALL 259-8811 FOR INSPECTION � <br /> I - —------- - Inspec-ion By� <br /> � _ Datelnspecte�_� <br /> SEE SKETCH ATTACHED NO. �V T��' <br /> I: ' ''I i�'.�i�f:;! <br />