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Hnr� <br />� l� <br />�O � '.yt <br />C H <br />9 H fn <br />4 <br />H�� <br />fi C] <br />H ?7 <br />� H��9 <br />Vl H <br />[*1 O � <br />H C7 <br />��g <br />�� � <br />�y� <br />HH <br />gy <br />Cq� C7 (� <br />Ci1 � [�7 <br />HOtyi� <br />� r <br />CHARfNO <br />� CVCfI'fl <br />� <br />City of Everett <br />Sewer Application and Permit <br />N0. L68`�� DATE ---_ octo:xr ls, 1^nn_— � <br />' 1701 lzlnt st. sr. i' <br />Service Address __ �— Utility Account No. <br />Billing Address__ 302� 112th Avo. N! Permit Fee 30.00 <br />' City, State, Zip �llewe, WA 980C4 Connection Chargelsl �llected or� A26093 <br />Owner (Mortgagor) �ntron Total Fee 10.00 <br />Billing Name �e <br />Connection 8y �"° <br />�; . .� .i:;liirl lllkk�N'A'1'� i:l: <br />Address Si10O Signed <br />cu�tome, <br />i:..i , <br />Phonc f1f32-_8�9 _ .- - - -- --- - � � , � , ,� ,�,�7i <br />� S�wer Distriet �da� Y=I <br />DESCRIPTI�N: --,- . <br />Lot Block _—__ ' �+� ' � � ' ' • - <br />Monthly Sewer Servi�e <br />Plat — <br />i Unplatted Descrfption __ __ Monthly Sewer Con�s�r.� � �.,,.��.�,., <br />- - Trunk <br />� Type Permil: t:ew Connectlon <br />Remarks: <br />�-1�I IMPORTANT! <br />� Cl1LL 1�600�424 �555 48�HOURS <br />PRIOR TO DIGGING <br />CALL 259�8817 FOR INSPECTION <br />SFFSKETCH ATTACH[D <br />Lateral <br />Abu�ting Lot Line <br />N. S� E� W� ---It. <br />Approved By nt��'n T. TfiF.N. <br />Gty Enp'^err <br />Issued BY--- St'�6Y_.I:augpn _ <br />-i <br />�� � ..�.�.L��'•'_�. <br />I nspechun 8y��-1 _ � r-t -'�L-�= <br />Dacc Ins���:�ed 5 i ' '�.� -- - _ -- <br />N� 26894 <br />