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eve�ett <br />� <br />City of Everett <br />� <br />�� <br />r � �� � <br />LL �('J <br />i i `Q Si N Y <br />� e- a w <br />f <br />Sewer Application and Pe�� � s� <br />ow�,,.,,. r <br />� �G7`.S��i"# <br />�S <br />26419 _ ��.�ua� <br />N0. DATE Octnb�r�16, 1987 <br />Service Address 906 cs .ver. M.1 v.y <br />BiilingAddress 9725 3zd Ave. HB <br />City, State, Zip soattle � YA ge1 is <br />Owner (Mortgagor) aar.on c a■.oc_ <br />Billing Name a„�. <br />Connection By �i�e.+ <br />iiC�df85S_ 9_n_ Aez 6dSd �nnvnnd <br />Phone_ ��5-B9�d <br />Utility Account N <br />CHART N0. <br />J,�,�,;; �-c� <br />Permit Fee- �n nn <br />Connection Charge�s)_ i7vn pp <br />Total Fee 30 �0 <br />spocial IItility Fee ord. 1171-ES <br />water 2592.86 <br />seMer 6E35.71 <br />9428.57 <br />Signed -- /%i'. -- <br />;/ � Customer <br />DESCRIPTION: Sewer District nonfl J.II <br />Lot Block <br />Plat Monthly Sewer Service <br />Unplatted Description Monthly Sewer Constr. <br />Type Permit: <br />Remarks: <br />IMPORTANT! <br />CAL! 1-800-024-555548-HOURS <br />PRIOR TO DIGGING <br />CALL 259-8811 FOR INSPECTION <br />SEE SKETCH ATTACHED <br />Tru <br />Lateral <br />1738.00 <br />Abutting Lot Line <br />N, S, E, W 395 ft. <br />Approved By__ ;,,,. <br />itY ngineer <br />Suap 8at�qen <br />Issued Bv <br />I nspection <br />!fdSPEC'i'IGN <br />c"�^ <br />� <br />No. 26419 <br />