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everett <br />�e_� <br />City of Everett <br />Sewer Application and Permit <br />CHART <br />S1 .6p Cl t 2 2- 88 <br />NO. 26293 DATE J.grin 3 1902 L— <br />Service Address 4926 rfewr st_ Utility Account No. <br />Billing Address 10612 19eb or sr. <br />City, State, Zip_ asarattra 91111208 <br />Owner (Mortgagor)"""" <br />Billing Name — <br />Connection <br />Phone 112-9079 <br />DESCRIPTION: <br />Lot x Block <br />Plat m+nw eniMt. <br />Unplatted Description <br />Type Permit: now Oomrnation <br />Remarks: <br />IMPORTANTI <br />CALL 1.800.424-5555 48-HOURS <br />PRIOR TO DIGGING <br />CALL 259-8811 FOR INSPECTION <br />SEE SKETCH ATTACHED <br />Permit Fee_ an_nn <br />Connection Charge(s) eft <br />Total Fee In 00 <br />Spacial utility f", Ord. 1171-85, <br />water only 224.00 <br />Signed I <br />Customer <br />Sewer District — <br />Monthly Sewer Service <br />Monthly Sewer Constr. <br />08AT4187 3*26M MXR06535 tit <br />Lateral k"6293 <br />1171-5 4al-01 <br />Abutting Lot Line11rO8p5519 <br />N, S, E, WWRIER 4M 1XI ft. <br />i1088185,.4 <br />LU16 $590.00 <br />PLBG f-65.80 <br />r�1j! l72.00 <br />Approved By a' - <br />BC 43.,% <br />uktlwv a1s.a� <br />Issued By <br />L SRCH 415.(10 <br />13~ t2U. <br />CftE(;V, <br />Inspection By <br />Date Inspected 3 1tre <br />INSPECTION <br />NO. 26293 <br />