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evereri <br />� <br />City of Everett <br />SeWver Applica�'ion and Permit <br />CHART N0. _ <br />��..��� /Y�f-1.t- lv/�f e8 <br />NO. L��'`O DATE 1�uaust 17. 19e7 � <br />Service Address 8123 Hewrly Bl�d. Utility Account No. <br />6illing Address 17371 12E 67th Ct 11�6 <br />City, State, Zip �d. p1► 98052 <br />Owner (Mortgagor) � puayon Cbnst. <br />Billing Name S� <br />Connection Bv e� <br />Phone �5-�� <br />DESCRIPTION: <br />Lot _ Block <br />Plat <br />Permit Fee�_ __ <br />Connection Charye(s) �2n_ee <br />Total Fee �o_en __ <br />Speatal Utility lee, ord. 11T1-85t <br />raiar 179.00 <br />sevar 471.00 " <br />6 W <br />/;_ <br />Signed ' � " <br />� / Customer <br />/ <br />Sewer District �<- �� �a jlr <br />Monthly Sewer <br />Unplatted Des�:ription ��tv�A . Monthly Sewer Constr. <br />Type Permit: <br />Remarks: <br />IMPORTANTI <br />CALL 1-800-024-6555 48•HOURS <br />PRIOR TO DIGGING <br />CALL269�811FORINSPECTION <br />SEE SKETCH ATTACHED <br />Trunk <br />Lateral <br />09/11/E�? 3s19Pff ODDAAi070 ti'kt <br />Abutting Lot Line � <br />N, g, E, WI{00O263iD �t. <br />SiE{IEF: :l0.1k7 <br />F?FID !I 37h'.00 <br />1171-i 46�n1.00 <br />k[Y'.�186�'� <br />A,�proved By_A'�,�b R. �l$� <br />npinem <br />�� Q�.� <br />issued BY--• �+ax9a71ilCM. M�1o81 <br />e seai a3.so <br />E SRCN 515.00 <br />DRV�h' t20.IM7 <br />i00D''.7 , <br />Inspection By <br />E : f265 .31 <br />Date lnspected 6�� • <br />Na, 26310 <br />INSFECTION <br />