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everen <br />e <br />City of Everett <br />Sewer �►pr�iieotion and Permit <br />r�o. 26269 DATE ��y�2�. 19A� <br />Service Address 7�75 e+wzlr Blvd <br />Dilling Address p•o• � �8� <br />City, State, Zip =�ilt�o, la► 98175 <br />Owner (Mortgagor) H.O.t. Conatr. Ine. <br />Billing Name $+� <br />Connection By 8� <br />Phone 3�8-4�_ <br />Utility Account No. <br />Permit Fee 30.00 <br />Connection Charge(s) 725.00 <br />Total Fee 30.00 <br />Sp�aisl tltility Feso, Ord. 7.1�1••A5• <br />rater 179.00 <br />eawer 471.00 <br />65U.00 �r <br />Signed <br />cu:tomer <br />DESCRIPTION: Sewer District eene r* <br />Lot Block <br />Plat Monthly Sewer Service <br />Unplatted Description ... a�., .a (yi+« �..r co a_as) Monthly Sewer Constr. <br />Type Permit: <br />Remarks: <br />IMFORTANTI <br />CALL 1A00-024•5555 48•HOURS <br />PRIOR TO DIGGING <br />CALL 259�8811 FOR INSPECTION <br />SEE SKETCH ATfACHED <br />Tru <br />Laterel <br />Abutting Lot Line <br />N, S, E, ��1 � 7 3s H ttGl fkK2 <br />f <br />YOC101B409 <br />81yt3 43t1.'..00 <br />Approved By ��n A_ dy�j�,._ <br />Enqmeer�A !. <br />IiH CH a63.38 <br />Issued By +���g- �� <br />��.�fT—iiS�— <br />fikVW'! _ S2tl. W <br />Inspection <br />I�!SP[CTION <br />u�:��; N�::���269 <br />