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everen <br />� <br />City of Everett <br />Sewer Application and Permit <br />No. 25522 DATE Merch 18 1986 <br />ServiceAddress T0505 - 4th OR SE <br />BillingAddress 17018 - i5th Ilr! NE <br />City, State, 2ip SeaLtle NJI 98155 <br />Owner (Mortgagor) M�.t�n r�..�.+,�*+on <br />Dilling Name �� <br />Connection By Same <br />Address ��e <br />Phone �6'+ 0116 <br />DESCRIPTI ON: <br />Lot �g Block <br />Plat Ceda� Lne <br />Unplatted Description <br />Type Permit: NeM tonnection <br />Remarks: <br />IMPORTANT! <br />CALL 1�800-024-5555 48•HOURS <br />PRIOR TO DIGGING <br />CALL 259�8811 FOR INSPECTION <br />SEE SKETCH ATTACHED <br />Utility Account �o. <br />Permit Fee 3� � <br />Connection Charge�s) 330 OD <br />Total Fee 30 00 <br />Ser� Dev Fee Ord 1171-85 <br />Water � 179.00 <br />Sewer � 471.00 <br />50.04 � <br />�� i <br />Signed � % �„_ <br />- a��«�, <br />Sewer District_ ISn� IIi <br />Monthly Sewer S�rvice_ <br />Monthly Sewer Constr. <br />Trunk__ <br />Lateral <br />Abutting Lot Line <br />N, S, E, W <br />Aporoved By A R Thesl <br />Gtv Enginecr <br />Issued By � f�annan <br />, . <br />/� � '��i�.h��,,`L_ �. <br />Inspection By � <br />Date lnspected � I /` ���' <br />No. 255�2 <br />I�'�P[CTION <br />