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everetl <br />e <br />City of Everett <br />Sewer Appli�ai ian an�! <br />N0. 2725� DATE <br />Service Address_ d112 B Bwvarly eltrd. <br />Billing Address �1411 �Sth ss <br />City, State, Zip_ ��11, NA 98021 <br />Owner (Mortgagor) ��t Nith�re <br />Billina Name s� <br />Connection By =�� $°� <br />sama <br />Phone 481-459� <br />DESCRIPTION: <br />Lot <br />Plat <br />Unplatted Descr <br />Type Permit: <br />Remarks: <br />Block_ <br />IMPORTANTI <br />CALL 1-800�24�5555 48-HOURS <br />PRIOR TO DIGGING <br />CALL 2596811 FOR INSPECTION <br />SEE SKETCH ATTACHED <br />�����g <br />��P���� <br />� �T �R N YI <br />�... _ <br />�1���� <br />CHART N0. <br />-;cNl- "�0 5ro_�-iNCT <br />� — ��. -��o <br />Utility Account No. <br />Permit Fee 3U.o0 <br />Connection Chargels) 7:t0.00 <br />Total Fee 30.00 <br />Otillty Davalopasnt Pee Ord. 1171-85 <br />xator 179.00 <br />Aawr 471.00 <br />650.00 <br />Signed � <br />Customer <br />Sewer District Bond II <br />Monthly Sewer Service <br />Monthly Sewer Constr. <br />Trunk 270.oD <br />Lateral a50.00 _ <br />Abutting Lot Line <br />N, S, E, W, <br />Approved By ALP1tED R. THEAL <br />Ciry Enpineer <br />Issued By Suav�gen � <br />� � <br />Inspection By — <br />Date I nspected � ` �.� ._ <br />No. 27�51 ' � <br />INSPGC i IOPJ <br />