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CHART <br />everett <br />City of Everett <br />Sewer Application and Perm <br />NO. 26513 DATL- _:11nnunry7-9, tans <br />Service Address 1809 Leland LT. Utility Account <br />Billing Address RYlf7C=XXKx=Vx1@8% Same Permit Fee 10_nn <br />Citq, Stare, Zip LVerett. WA 98203 Connection Charge( <br />Owner (Mortgagor)—_ -%rnis illistad Total <br />Billing Name Sumo <br />Connection By Strre <br />Address 3ace Signed <br />Phone 353-1911 <br />DESCRIPTION: Sewer District U112^'Oa 4! - .11 I1pt�-htPF29 Ct%1 <br />Lot _ Block <br />Plat _ <br />Monthly Sewer Servj06021,511 <br />5L1JFJ? fHl.(W <br />Unplatted Description _ Monthly Sewer Corg[.gf gtO,Ittt <br />--' Type Permit: Trunk <br />Lateral -- <br />Remarks: <br />--� Abutting Lot Line <br />N, S, E, W ft. <br />-- <br />Ui127%6'S 1i:?P,gli i100(iNP.flivi 1X'X:X <br />Approved By <br />B. <br />SHE, <br />�pBer <br />IMPORTANT! <br />SEWGE <br />0.UO <br />Issued By <br />t'W_ <br />$1 00 <br />CALL 1-800-424-5555 48-HOURS <br />\ <br />PRIOR TO DIGGING <br />\ <br />CALL 259.8811 FOR INSPECTION <br />/� <br />^ <br />Inspection By <br />Date Inspected <br />26513 <br />SEE SKETCH ATTACHED <br />No. <br />INSPECTION <br />