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W <br />City of Everett <br />CHART NO. <br />a-s 2e-5 <br />•'-,c-T1T -ID P�-R IJto <br />1/zZ/90 <br />Sewer Application and Permit <br />No.25461 DATE p ti, —1981; 1— <br />Service Address 59e2 Utility Account No. <br />Billing Address <br />City, State, Zip <br />Own,:r (Mortgagor) — <br />Billing Name <br />Connection By_.--Samw— <br />Addressy1 <br />Phone <br />Permit <br />Connection Charge(s) 770 00 <br />Total <br />Ord. 1171-0 SP ROB <br />Wtr — 179.00 <br />Svr — 471.00 <br />650 <br />Signed_ <br />Customer <br />DESCRIPTION: Sewer District <br />Lot Block Monthly Sewer Service <br />Plat <br />Unplatted Description5-28-5 Monthly Sewer Constr. <br />Type Permit: <br />Remarks: <br />IMPORTANT! <br />CALL 1.800-424.5555 48-HOURS <br />PRIOR TO DIGGING <br />CALL 259.8811 FOR INSPECTION <br />SEE SKETCH ATTACHED <br />Trunk 270.00 <br />Lateral 450.00 <br />Abutting Lot Line <br />N, S, E, W <br />Approved By <br />try ngmeer <br />Issued By— . rmman <br />Inspectlo�'B <br />Date In;oected < <�'+ r - �o <br />INSPECTION <br />NO. <br />I <br />461 <br />