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evereri <br />e <br />City of Eveiett <br />Sewer Application and Permit <br />r� 1^-- <br />N0. L ' — DATE � �9�8 <br />Service Address S1U7 Azb 5. dth ave. <br />Billing Address P•o. Do: 1G62 <br />City, State, Zip �=Y�ville WA 98270 <br />Owner (Mortgagor) Y� Pate Floffman <br />Billing Name $°'"� <br />Connection By S� <br />Address Same <br />Phone 659-6^5? <br />DESCRIPTION: <br />lot B <br />Plat <br />Unplatted Descr <br />��YPe Permit: Nnv r.,��a�r�o� <br />Remarks: <br />IMPORTANTI <br />CA LL 1•800�424-5555 48-HOU RS <br />PRIOR TO DIGGING <br />CALL 259�8811 FOR INSPECiION <br />SEE SKETCH ATTACHED <br />CHART NO.-- <br />S�-T � ��"CG`� <br />l��(C��"l <br />Utility Account No. <br />Permit Fee _3� �� <br />Connection Charge(s) ���g Bg <br />Total Fee '+� �� <br />Utility lxvelopnent Fea Ord. 1171-85 <br />water 2G1.00 <br />sevor G88.00 <br />9A9.00 <br />Signed <br />Sewer District_— _o„a� �� <br />G5;19;' ;S i =�:�'�i 011o-rilL'i�% :'_, .", . . <br />Monthly Sewer Service � <br />ut�al�JO: ;I�il <br />Monthly Sewer Cons�Fl(1: g �"•��.ial <br />fiU�itk' t'.'�, � <br />Trunk��,� r �w;�� !�] — <br />I'•I_Ui :1(ril.f_q <br />Lateral�^, r��,gp=g;�^�� — <br />11.II I:.Id °.R9.7U <br />Abutting Lot LineG ::f�'CNf ���•=a� <br />N, S. E, W f�>NfF' bCi.tAt ft. <br />IiRVN�' ?::U.Uti <br />i(UI it l,` i 1 ��2 <br />'.,I:1,4); S3�i.Iq7 <br />!#iD '11 , �::!).L'I; <br />Approved By ���K• ��� <br />iuuw:€„9���,.�;. . �:i� <br />Issued By ��Y Huugen <br />Inspection Byr���� <br />Da te I nspected_ �" '�" s y <br />i i�!c�;'GCTi G'! <br />No. 27182 <br />