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Ieveretl J <br />� ' <br />Ci:y of Everett _ � � = .� ; � � �, � � <br />I �� y� i? - � =' �.; ;i�. � <br />` _';� � <br />Sewer A�pplicatio�. �n;�� Pe�rri�it _ _ <br />� ;•� ;�i „� ��� •: -1 �' 1 - . j l <br />� � � � _ J � � :� _ _ � � � <br />27465 `� =__,���._:,`�.=�r=-�_.�� <br />N0. DA�I'E January 5, 1989' � <br />ServiceAddress 7U3 Laurul Dr, <br />Billing Address 8 1a27 Lombard <br />City, State, Zip LYerett, H� 98201 <br />Owner (P�lortgagor) �n Coleman <br />Billing Name seme <br />Connection By Same <br />Address same <br />Phone- 256-a$g5 <br />DESCRIPTION: <br />Lot <br />Plat <br />Unplatted Descr <br />Type Permit: <br />Remarks: <br />Block <br />IMPORiANT! <br />CALL 1�800-424-555548-HOURS <br />PRIOR TO DIGGING <br />CALL 259-8f311 FOR INSPECTION <br />SEESKETCH ATTACHED <br />CHART NO. <br />Utility Account No.._ <br />30.00 <br />Permit Fee _ <br />�C� �.� �v �CJ�<�r n� <br />� -rS -�� <br />Connection Charge�s) �OUe <br />Total Fee 30.00 <br />Utility Develo�icnt Fee Gr3. 1171-85 <br />w�ater 224.00 <br />savor 509.00 <br />E13.U0 <br />Si�ned_ ' <br />Cusromer <br />Sewi:r Dis7icz �rorth end <br />Monthly Sewer S <br />Monthly Sewer Constr. <br />Trun <br />Abutting Lot Line <br />N, S, E, W <br />Approved By ��Tu.D R. x�EAL <br />Ciry Engineer <br />Issued By SGsy Faugen <br />Inspection By -� ��V <br />Date I <br />i;��,_,���_c� ior� <br />.,c�� g—_ �.s <br />Nb. �7Q�J <br />