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evereri <br />e <br />City of Everett <br />Sewer Application <br />NO. ��O`�0 DATE <br />CHART <br />TO POStING 3� 9�-- <br />Service Address 430 SW Hverett ltall Nav <br />Billing Address 600 Ilaivezsity <br />City, State, Zip �attla WA 58124 <br />Owner (Mortgagor) 7talni�r Caoital Mamt <br />Billing Name �a <br />Connection By o'sullivan Const <br />Address 1401 ii Hickorson seatti� <br />Phone 28a_81er, <br />DESCRIPTION: <br />Lot Block <br />Plat <br />Unplatted D <br />Type Permit: <br />Remarks: <br />IMPORTANT! <br />CALL 1-800-424-5555 46-HOURS <br />PRIOR TO DIGGING <br />CALL 259•861T FOR INSPECTION <br />u <br />SEE SKETCH ATTACHED <br />Utility Account <br />Permit Fee �� o0 <br />Connection Charge�s) iaQ� RQ <br />Total Fee an nn <br />Dtility Deralopneat Fe� Ozd. 1171-85 <br />water 152.00 <br />cawer 400.00 __.___ .._ <br />552 00 ' ' - <br />Signed <br />Cusromer <br />Sewer District g��=== <br />Monthly Sewer <br />Monthly Sewer Constr. <br />1893.89 <br />Abutting Lot Line <br />N, S,.E, W, <br />Approved By <br />Ciry ngmeer <br />Issued By <br />Inspection By ��/• /� v <br />Date I nspected <br />No. 27090 <br />INSP6CT10N <br />