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everen <br />� <br />City of Everett <br />Sev+ier Applic�tion <br />�,o. 25852 DATE <br />�� <br />� <br />�.c ��i� Su�r°� <br />�� ��� � I,i lj f,> >^f <br />:—� •s� ..- ,-� �.:, :� :� <br />�` :a ... --' �— <br />C�t1�,P'�C�]�# _ ?:; <br />+�+ j L C� C' -�� <br />=� �� � � �ii i.�+7 � 3�' C� ;.7 <br />V �� � <br />�� �: ::u � L. � [l! .-v J <br />_ rv, .,�r ,, ,aNF <br />Service Address 7825 Evarvreen Wav <br />Billing Address 4300 W lqnrh <br />CitY, State, Zip �'orrr�� -� 90509 - 2956 <br />Owner �Mortgagor) stnn8arct Brand Paint <br />Billing Name Same _ <br />Connection By R. W. IIuff Construction <br />Address P.O. RoN 66'79 Seattle. W1� 98766 _ <br />Phone 244-7444 <br />DESCRIPTION: <br />Utility Account No. <br />Permit Fee 30.OD <br />Connection Chargels) �� none <br />Total Fee_ 30.00 <br />Special Utility Fee, Ordinance ii3S 1171-fl5 <br />water 5303.46 <br />seanr 900.03 <br />$1103.49 <br />, ; <br />Signed � i'i i % _� <br />, Customer /� <br />� <br />Sewer District Bond TII _ <br />Lot Block Alonthly Sewer Service <br />Plat <br />Unplatted Description � , i�}mr-feetfrnr Monthly Sewer Constr. <br />. • <br />�fype Permit: Ne� Cannectton —__ <br />Remarks: <br />IMPORTANT! <br />CALL 1-SDO-424-5555 46-HOURS <br />PRIOR TO DIGGING <br />CALL 259-8811 FOR INSPECTION <br />SEESKETCH ATTACHED <br />Trunk <br />Abutting Lot Line <br />N, S, E, W <br />Approved By ALF'xYD R. 7E�AL <br />Ciry Engineer <br />Issued By �arcrazet P HCLeod <br />Inspecti�n By �`� <br />Date Inspected � �'J <br />IfVSP[=C'i IOf� <br />No. 25852 <br />