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�3rH <br />m <br />9HyyrH/� <br />H 5H <br />oxo <br />'i1 H r'1i <br />U1 N <br />H t' <br />RoA <br />HC <br />ZOE <br />P A <br />HH <br />8W <br />H <br />0d� <br />z H rn <br />H O rn <br />77— <br />1 <br />everett <br />City of Everett <br />CHART N <br />Sewer Application and Permit <br />N0. 26928 DATE Roven+ber 4, 1988 <br />V&�� <br />Service Address Utility Account <br />Billing Address <br />City, State, Zip — <br />Owner (Mortgagor) <br />Billing Name Same <br />Connection By <br />Address <br />Phone . - <br />DESCRIPTION: <br />Lot 17-1a Block —T-- <br />Plat Towoll Div. A <br />Unplatted Description <br />Type Permit: <br />Remarks: <br />IMPORTANTI <br />CALL 1-800-424-555548-HOURS <br />PRIOR TO DIGGING <br />CALL 259.8811 FOR INSPECTION <br />SEE SKETCH ATTACHED <br />Permit <br />t (l0 l yci <br />Connection Chargels) 720.99 <br />Total Fee 3000 <br />Utility Davelorment <br />water 179.00 <br />sewer 471.CO <br />650.00 <br />Signed <br />Customer <br />Pee Ord. 1171-85 <br />65126i O9 2t13Ph OOOr'114iW7 <br />Sewer District tomm <br />N-W 172.00 <br />Monthly Sewer Ser%6 6RCR V-5 Ai <br />N0=6928 <br />Monthly Sewer COn9[WR 430.00 <br />Ct10 11 $7410.00 <br />Trunk tt''7 --5[I.00 <br />le <br />:Oo <br />Lateral�.500.00 <br />Ii17a7021 <br />Abutting Lot LineW00-11151 <br />N. S. E W(afil; tiW.W h. <br />111=032 <br />SLID t30.00 <br />IM 11 t7?O.00 <br />Approved By 11I�R�1Y5R. )'lN6W <br />diAka <br />WTEP WW.W <br />Issued By S%QJL'fiatxlW89.tN <br />Inspection By <br />Date Inspected ,,,- d' - 9'- <br />INSPECTION <br />ND, 26928 <br />