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everett <br />e <br />City of Everett <br />Sewer A��pli�cai�ion and Permit <br />CHART N0. <br />SENT i u CNy�'Ti�'JC <br />]/zY/� 7 <br />No. 26050 DATE ,�.��arx so. i4��L_._— L_._ <br />Service Address ���+��"''k ►r�_ Utility Account No. <br />Billing Address_Sue <br />City, State, Zip��it._..�� ��� <br />Owner (Mortgagor)�Rqd�ttk <br />Billing Name � - <br />Connection By •rCtioa— <br />Address_;��e +�R 1 S E ill <br />Mill C��ek <br />Phone <br />DESCRIPTION: <br />Permit Fee » A� — <br />Connection Charge�s) <br />Total Fee_�.,m <br />Spectal Ut111ty F�e Ord. 1171-85 <br />rater 224.00 <br />Signed <br />Cuslomer <br />Sewer District dend Ii <br />Lot._.�_ Block Monthly Sewer Service <br />Plat r. �k �..� <br />Unplatted Description Monthly Sewer Constr. <br />Typa Permit: <br />Remarks: <br />IMPORTANTI <br />C:ALL 1�800d24•5555 49•HOURS <br />PRIOR TO DIGGING <br />CALL 259�8871 FOR INSPECTION <br />SEE SKETCH ATTACHED <br />Lateral <br />02104/B? 7�:1�'1f t;00S�ik�"971 t�C3 <br />Abutting Lot Line / <br />N, S. E, W!!00!]17 95 ft. <br />FA_DG �539.�D <br />PL6u i�65.[IO <br />MEi� i106. �IJ <br />R �l:H 31.SU <br />Approved BY.� 5 � �e �,��— <br />iNJO[�6ai0 <br />Issued By 430.W <br />- r.:�t.w <br />ii000�15;Of, <br />I�iFF. ShO. <br />_�k►1 , x J� <br />Inspection By � <br />Date Inspected � �-�� <br />INSPGC'i ION <br />No. 26050 <br />