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CHART N0. <br /> everett • " <br /> e �u� R35_z�4 <br /> � �-y,,.,- ro l'��o.c.-,�-�- s•1a -a7 <br /> City of Everett � $ �3 '�' � • 8 8 ��S � � <br /> � J �tN tl� C � Q � �.; .N..�ir <br /> � `1 <br /> Sewer Application and Per��i� ._ �" ~ `` M � � <br /> � <br /> - s �,� •. U� <br /> v � <br /> � � � � �� � � � � � � � <br /> No. 25707 DATE ,m�� �9, �nas <br /> Service Address 1717 Enalam! Utility Account No. <br /> Billing Address PO Bot 2327 Permit Fee �O.DO <br /> City, State, Zip_�,Y91Lk4pd NA 98036 Connection Chargels) 720.00 <br /> Owner (Mortgagorl—Alan Ostaen Total Fee 30.(10 <br /> eilling Name Sa�e 8pec1al Setnr Fees 1171-85 <br /> S�er 589.00 <br /> Connection By Mater 224.00 <br /> 8T .�Ob <br /> Address Signed <br /> cu:tomer <br /> Phone 778-�000 <br /> DESCRIPTION: Sewer District Rend II <br /> Lot 15-1R Block- ln <br /> Plat_h����n Monthly Sewer Service <br /> Unplatted Description Monthly Sewer Constr. <br /> Trurik !!� 270.06 <br /> Type Permit: May COnlllCt1011 <br /> Lateral 450.00 <br /> Remarks: <br /> Abutting Lot Line <br /> N, S, E, W ft. <br /> Approved By <br /> n er <br /> IMPORTANT! <br /> Issued By g. q•anrteu <br /> CALL 1-800-024`555 48•HOURS <br /> PRIOR TO DIGGING <br /> CALL 2595811 FOR INSPECTION <br /> Inspection By-�' ���/- <br /> Date lnspected ���� <br /> SEE SKETCH ATTACHED No. 25707 <br /> INSP[CTION <br />