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everen <br />e <br />City of Everett <br />Sewer Appli�ation and Permit <br />CHART NO. <br />st,�.- T-� CHi7,�'Ti.vtr <br />S-%2 A6 <br />No. 25503 DATE M�r'Ch 10. 1�86 � <br />Service Address 10529 - 4th DR SE Utility Account No. <br />BillingAddress 1U718 - lSth Me ME <br />City, State, Zip Seattl e 4A 9H155 <br />Owner (Mortgagor) Metto Conft�uCtlOn __ <br />Billing Name �� <br />Connection By �K <br />Address ���e <br />Phone i63-0316 <br />Permit Fee 30.00 <br />Connection Chargels) 33Q•� <br />Total Fee 30.00 _ <br />SeMsr ev ee <br />Mater 179.00 <br />Sexei^ 471.0C� <br />.00 <br />� <br />- i._._.. <br />Signed / � <br />cu:tomer <br />DESCRIPTION: Sewer District <br />Lot �� Block <br />Plat Cedar Lane Monthly Sewer Service, <br />Unplatted Description Monthly Sewer Constr. <br />Type Permit: IIlM CCIIIIlCtion <br />Remarks: <br />IMPO!';TANT! <br />CALL'.�800�24-5555 48•HOURS <br />PRIOR TO DIGGING <br />CALL 259�8811 FOR INSPECTIUN <br />SEC SKETCH ATTACHED <br />Tru <br />Lateral <br />Abutting Lot Line <br />N, S, E, W <br />Approved By.��_ <br />Cilp E Qine <br />Issued By�� <br />� J <br />Inspection By L - <br />� <br />Datelnspected <br />``' 0.�255U3 <br />d�PECTION <br />