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everen <br />� <br />City of Everett <br />Sewer Application and Permit <br />No. 26514 pATE Octo2x�r 99�. �QpP <br />Service Address 4�17 Hoyt Ave. <br />Billing Address 11525 19th Ave. S:: <br />City, State, Zip �'�'ett, NA 98205 <br />Owner (Mortgagor) �aver �evelopment <br />Billing Name �°18 <br />Connection By S� <br />Address <br />Phone_ 337-1066 <br />DESCRIPTION: <br />Lot <br />Plat <br />Unplatted Descripti <br />Block <br />Type Permit: �, �ff <br />Remarks: <br />IMPORiANT! <br />CALL 1-800-424•5555 48-HOURS <br />PRIOR TO DIGGING <br />CALL259-88�1 FOR INSPECTION <br />SEE SKETCH ATTACHED <br />J! <br />Utility Account No. <br />Permit Fee ^ <br />Connection Chargels) <br />Total Fee <br />Si9nCd Custome. <br />Sewer Districi <br />Monthly Sewer Service. <br />Monthly Sewer (:onstr. <br />Trunk <br />Lateral <br />Abutting Lot LinQ�);�`;1iit1 �':.a±h'ii LitJCAi�':)Ki E%::� <br />N, S, E, W ' ft. <br />�� ',iUi nj;'ll l? <br />f; ':rY'H �3.50 <br />!! t!+bhx!E,914 <br />�i:6y=G' :.'•'.�1 <br />Approved By ' � ���� <br />iry Engmeer <br />Issued f3y�••�� �r�ry <br />Inspection B <br />Date Inspected <br />I;':E�� GC I IOi! <br />No. 26�1.G <br />q <br />