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everett <br />e <br />City of Everett <br />S�wer Application and Perrnit <br />CHART NO. <br />,$EtiT To ct�A£r..�G /2/3�/SG <br />No. 25925 DATE OC*Aber 20, 1986 � <br />Service Address Ro:�;__(,'p1�. Utility Account No. <br />Billing Address p� Spx 59� <br />Cicy, State, zip�� Stw�ns NA v8758 <br />Owner �Mortgagor) IN]L�I i Sw1Lh <br />Billing Name �� <br />Connection By _ <br />Phone � ��; <br />DESCRIPTION: <br />Lot�_ Block <br />Plat _Cp].b�_p]•C,e <br />Permit Fee ��0/21/6S 2ef}yPt1 OOOr1bc^569 xt:Ft <br />/ <br />Connection Charge(s)��i��ri�� <br />z.:w;;'..lA) <br />Total Fee �nn11��� �"�J.L�U <br />Speelat Uti� ee �f'S.��I171-85 <br />Saewh�„ (: {'0�0� 415.W <br />I� s2U.tu� <br />llCtltl'� `�ir:� <br />Sianed SEId'r_k: i3i1.0U <br />�`lA9A�SI s720.0U <br />1171-:i 36:ti�. W <br />iNiOfX�'u^..'.�v <br />Sewer District_g� 1 ' �GO.D <br />:1.; i193;.IX1 <br />Monthly Sewer Service <br />Un�latted Description Monthly Sewer Constr. <br />Type Perinit: <br />Remarks: <br />IMPORTANTI <br />CALL 1-800d24-5555 48•HOURS <br />PRIOR TO DIGGING <br />CALL 259�8817 FOR INSPECTION <br />SEE SKETCH ATTACHED <br />Trunk ���� l <br />! <br />Lateral � -- ��� <br />Abutting Lot Line <br />N, S, E, W ft. <br />Approved By_��Xpo,y� <br />Ciry Enpineer <br />Inspection By <br />Date Inspected l�Z%`"�gQ <br />IRSPGCTIOi� <br />ho. 25925 <br />