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il <br /> I <br /> CHART i�0. — <br /> everett � � �� � <br /> ✓ . ' °' ' ° j - - "� <br /> � <br /> � <br /> ICity oi Everett <br /> Sewer Application and Permit <br /> No. 26575 DATE --�--^_3e�•,.r„�— <br /> Service Address 914 110th P� 8F Utility Account No._ <br /> Billing Address 17371 ItP G7 � cr � ^� Permit Fee�pTgg_ <br /> City, State, Zip 1lsQsonG M�► 98aSZ Connection Charge(s) 33A.^" <br /> Owner (Mortgagor) Piaatm am�at_ Total Fee 3n nn <br /> Billing Name sur BPecial tltility Tsa ord. 1171^85 <br /> retet 179.00 <br /> Connection By S�oa — ��r �71'� <br /> 650.00 <br /> Address_ �� _ Signed_ — <br /> cwiom�� <br /> PFone ����n NA4 1Qf1n <br /> DESCRIPTION: Sewer District �n, III <br /> Lot 9 Block — <br /> Plat Lrwn PL►ca Monthly Sewer SeMle"A'�/�' „: �`.i'If INNGIIl95�Fi kt t r <br /> Unplatted DescriFtion Monttily Sewer ConYtlU�lUS'uAl <br /> Ulllll: 4t0.iui <br /> Trunk I!Iwxt i..'�j��_ <br /> Typa Permit: lt�r Cbnn�atlon �:��q)•: e;U.tM) <br /> Lateral f�ll�ltl t3��.tu� __ <br /> i l'i 1'i ti6:A1.lpJ <br /> Remarks: Abutting Lot Line��b»`�t��• <br /> N S E W_. �Mi 94'.�.':a� it. <br /> fl.,i Sq�.(kl <br /> iYd'H +.h'i.`al <br /> 17.N I;N y"1,..:1 � <br /> t: ;�1`f.N >:•.`�.i1 <br />�� - --- APProved By L. `'�1= '^�IR�D R. TREAL <br /> � opmeer •. • <br /> �,W U. 'l l'i 4' .��1 <br /> IMPORTANTI Bua Ra en <br /> Issued 8y Y � <br /> CALL 1-000-024�G5G5 48-HOURS <br /> PRIOR TO DIGGING <br /> CALL 259-8811 fOR INSPECTION � f1 n` I` ^rI� ' <br /> L(J�1 �J�"/\ .t' <br /> Inspection By — <br /> __,___ Date Inspected 5�� <br /> SkE SKETCH ATTACHED Na. 26575 <br /> I; : "LC�TION <br /> � <br />