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everett <br />� <br />City of Everett <br />Sewer �►pplication a�d Permit <br />No. 2fi�Q� DATE o�co� i�. 19H9 <br />CHART N0. <br />�6uT � �3't'�N� <br />Service Address �� ��+'a= �aq� �• Utility Account No. <br />g • z s• s-, <br />Billing Address_ �=Y7¢t��• �Z406 Mukilteo Spwypermit Fee 30.04 <br />City, State, Zip Lynieood, WA 9fl037 Connectior, Charge�s) Y10.00 <br />Owner (Mortgayor) �9�'8 PmP• <br />Billing Name_ �;e <br />Connection By �p <br />Address._. � <br />Phone_ 348-3961 <br />DESCRIPTION: <br />Lot 34 Block <br />Plat _ �� �d9a Eatates <br />Unplatted Description <br />Type Permit: <br />Remarks: <br />27ew oonnaction <br />IMPORTANT! <br />CALL 1-800-024•5555 48-HOURS <br />PRIOfl TO DIGGING <br />CALL 259-8811 FOR INSPECTION <br />SEE SKFTCH ATTACHED <br />Total Fee 30.00 <br />IItility Development Fee Ord. 117.L-95 <br />watar 179.00 <br />sawer 471.00 <br />b50.00 <br />: <br />%� ° f:.: - ;. � . / <br />Signed �- -" <br />/' � CUSIOrtIlf.� <br />j/ <br />Sewer District aond Z <br />Monthly Sewer <br />Monthly Sewer Constr. <br />110.00 <br />Lateral <br />Abutting Lot Line <br />N, S, E, W <br />Approved By AT]vRF.T R_ 74iEAT. <br />City Engineer <br />Issued By s„�., HannP� <br />Inspeciion By_ ��� <br />Datelnspected 7�7 <br />� <br />No. 26891 <br />Ii�JSPGCTION <br />