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W <br />City of Everett <br />CHART N <br />o Clcti ,� 7-22-88 <br />Sewer Application and Permit <br />No. 26611 DATE —�Ar-eh U 1 rr, -- L <br />Service AddUtility Account N <br />Billing Address_h}�3gtlr—IFipg <br />City, State, Zip <br />Owner (Mortgagor)_ _ <br />Billing Name — <br />Connection <br />Phone <br />DESCRIPTION: <br />Lot 20 Block <br />Plat _-wi r a <br />Unplatted Description <br />Type Permit: <br />Remarks: <br />IMPORTANT! <br />CALL 1 800-424-555548-HOURS <br />PRIOR TO DIGGING <br />CALL 2.99.8811 FOR INSPECTION <br />SEE SKETCH ATTACHED <br />Permit F <br />Connection Charge(s)�,35�0 <br />Total Fee <br />Special Utility Fee Ord. 1171-0S <br />water 179.00 <br />sewer 471.00 <br />550. 00 j <br />Signed <br />Sewer District <br />Monthly Sewer <br />Monthly Sewer Constr. <br />Trunk <br />Lateral 5_n0 <br />�+, + , <br />Abutting Lot Line!g,y+S11 <br />N, S, E, <br />NI�SJirr• rv't ft. <br />M)1II $395.00 <br />1171-5 i6SU.(til <br />{iQtiflOo^Si5 <br />11 ATIF 360.00 <br />Approved By <br />i3C,;rt: mar. <br />I F,IIIY' E ngmeef,i S 7 .I1101 <br />1'6!; �.6.00 <br />Issued By_ <br />i*t°+uyah'•_r t <br />E SK111 715.00 <br />DR4N ' 420.00 <br />IF. <br />It11W.50 <br />Inspection By <br />7 <br />Date Inspected <br />5-Z5 <br />N0. 661E <br />INSPECTION <br />