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everen <br />e <br />City of Everett <br />Sewe�r �4Rpi�catiQn and Permit <br />No. 25526 <br />Service Address <br />Billing <br />City, State, Zi <br />DATE Marah 19, 1986 <br />10605 — �th Dr 3C <br />3!t 17018 15th IS <br />S�attl�, itA 9N155 <br />Owner (Mortgagor) p� <br />Billing Name rw _ <br />Connection By z�, __ <br />Addrs� s_. <br />Phone �� 63's6 <br />CHART <br />•Se�.t fo C�ftu_�1"i�L� ��r7 <br />Utility Account No. <br />Permit Fee 30.00 <br />Connection Charge�s) 33C.Q0 <br />Total Fee 30.00 <br />Sp�alal Yea, Ordlnance 1171-85 <br />Mstar 179.00 <br />471.00 <br />650.00 <br />Signed_ <br />CuTlomer <br />DESCRIPTIOtJ: Sewer District <br />Lot 1� Block <br />Plat Monthly Sewer Service. <br />Cedar r�r <br />Unplatted Description Monthly Sewer Constr. <br />Type Permit: <br />Remarks: <br />IMPORTANT! <br />CALL 1$00-424-5555 48-HOURS <br />PRIOR TO DIGGING <br />CALL 259�8811 FOR INSPECTION <br />SEE SKETCH ATTACHE� <br />Larera <br />Abutting Lot Line <br />N, S, E, W <br />Approved By IJIRR� R 17�AL <br />Ciry Engineer <br />Inspectian By� , <br />Date Inspected �/ C ZS { � <br />No. 25526 <br />Ii�SPECTIO�U <br />