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everett <br />City of Everatt <br />Sewer Application and Permit <br />CHART <br />J �i✓T Tn !/✓A=fidr <br />S �3-97 <br />No. 25829 DATE SOPtamhar 9, 1986 <br />Service Address --Mil - -iad eW-Y Utility Account No. <br />Billing Address <br />City, State, Zip-_ZW&r t J01 98]Ol <br />Permit Fee i0 00 <br />Connection Charge(s) 710 00 <br />Owner (Mortgagor) •7&e&a N w, <br />Total Fee <br />kF <br />Billing Name Cana <br />Spacial Utility Pea, OtQdnanee 1171-85 <br />rater 3 17911WI17090 <br />Connection By_yw <br />eager 47140i g356.00 <br />3 6solfwl $55.111 <br />Address <br />% <br />Signed M Cli $33.00 <br />cu 4'r -5 r <br />Phone 3461 3088 <br />G WCH $1.:0 <br />E %,..Cll s15.00 <br />DESCRIPTION: <br />Sewer District WRN 120.00 <br />Lot Block <br />10 ' <br />Plat <br />Monthly Sewer Servi <br />F `'0 W <br />C9� if $' <br />Unplatted Description Sam tteehed <br />Monthly Sewer Conyy��tt}}�i t ' i6w.00 <br />Mijxl <br />4151 Rb <br />Type Permit: <br />Trunk 14ALP 64011.00 <br />M 9xXK85S, <br />Latera' LLLC 735.00 <br />oe...�.�.. <br />1: L , Ej.f5. U r <br />CALL 1-800-424.5555 48-HOLJRS <br />PRIOR TO DIGGING <br />SEE SKETCH ATTACHED <br />Abutting Lot Line <br />N, S, E, W <br />Approved By <br />rty .ngineer <br />Issued By 11- cgas+aC-8 I�oLaod <br />Inspection By1:�4� <br />Date InspectedS-B• 87 <br />INS 711ECTION <br />NO. 25829 <br />