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ICHART NO. <br /> Ieverett � <br /> �� I <br /> � <br /> � <br /> i �.i*� of Everett ' <br /> �• ' ' and Pere�it I <br /> � ,�ewer �►pplication <br /> � <br /> N0. ��� '�,'� DATE _ Octobor 23 198e — <br /> IService Address 18� s. Intercity Ave. Utility Account No. - <br /> Billing Address <br /> 21435 �La St. Permit Fee '+n ro - <br /> Brier, WA 98036 Connection Charge(s) *n — I <br /> City,State, Zip — � <br /> f non otteutt Total Fee �o on i <br /> I Owner (Mortgagor) <br /> IUtility Dev�lopment Fee Urd. 13.71-E35 <br /> Billing Name S�B aater L'I9.U0 <br /> � sewer 471.00 <br /> I Connection By �e 650.00 --� <br /> l�J:.:a;;;'r' 1z34f•tf UC�Lfi�•:`,�;:�'ln i:if�;. <br /> I Address �° Signed c�s�ome� � <br /> i;UQO;::�'8ch I <br /> Phone 774-6936 6'l.L't� 4hSC�.oU <br /> j f'Lk;li ?ull.ii0 <br /> DESCRIPTION: Sewer District�Rn "'' I <br /> Lot Block Monthly Sewer Serv������ �'•i.SU _ <br /> ♦._ . <br /> iPlat 7 x7�if,�r r <br /> IUnplatted Description Monthly Sewer Con��fE�, ,,,�i �;,� <br /> i Trunk iI('�?!;?7:;u5 <br /> -_,r. , i:;t�. I <br /> TypePermit: paW lifJ.-5 ��Fd).(kl <br /> Lateral <br /> �; i ri <br /> 11FC %ZS.fJIi <br /> Remarks: Abutting Lot Line�E{��}; 41:��1. f[t <br /> N, S, E, W ft. <br /> � I <br /> Approved By ATPPFT n ��„�— I <br /> City Engineer <br /> I � <br /> li IMPORTANT! Issued By � I; <br /> �� CALL 1-800A24-5555 48-HOURS � <br /> ' PRIOR TO DIGGING I <br /> � CALL 259�8817 FOR INSPECTION � I <br /> I - � <br /> Inspection By , <br /> IDate Inspected � � <br /> � SEE SKETCH ATTACHED NO. G�3��J I' <br /> IiF:. ; E�; �lC. . I� <br /> ; I <br /> I <br />