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everett <br />� <br />City of Everett <br />Sewer A,pplication and �er�::+ <br />CHART <br />l. G � �� - . �_ Ni , i .�' <br />��f.,�,., _,�, �q�. <br />Y- �-.�c <br />NO. L`���`t ?Iwenber 25, 19fl5 � <br />DATE <br />4126 A tioyt Utilit Account No._ <br />Service Address Y <br />Billing Address <br />713 S.E. Lverett Nall way PermitFee 30.00 <br />City, State, Zip �zett, Wa. 98204 Connec[ion Chargelsl_ <br />Owner (Mortgagor) <br />Czoni:, CUstom Homea Total Fee 30.00 <br />Billing <br />Connection <br />sss-esoo <br />Ordinance 1171-85 <br />Water 805.00 <br />S¢wer �131./00 <br />.% ` j 2926.OD <br />Signed � , c� i �, !.j....__ � <br />Cus�omer <br />DESCRIPTION: Sewer Distnct <br />l.ot 19'ZQ Block 15 Monthly Sewer Service <br />Plat _.9s'sth_Pazk <br />Unplatted Description Monthly Sewer :onstr. <br />Trunk <br />Type Permit <br />Remarks <br />Hew Connection <br />IMPORTANT! <br />CALL 1500-424-555548-HOURS <br />PRIOR TO DIGGING <br />CALL 259-8871 FOR INSPECTI(i�J <br />SEE SKETCH ATTACHED <br />Abutting Lot Line <br />N, S, E, W �orthand <br />Approved <br />Issued <br />Engineer <br />• ���-- <br />Inspection 9y <br />3 — � ��� <br />Date'Insprcted�. - <br />I�!i'?^C110,. <br />No. 2534d <br />