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everett <br />e <br />City of Everett <br />Sewer Appiication and Permit <br />CHART NO. <br />S.�NT %c �Llq�'T.�G /�/3//87 <br />�JO. �v��O DATE Mav �. 1987 � <br />Service Address �426 Virginia 1►r. Utility Account No. <br />Billing Address 1��9 IIro�dvay <br />City, State, Zip �'�tt, HA 98201 <br />Owner (Mortgagor) �°�i� u�• <br />Billing Name S�Q <br />Co�nection By n.G. IIrand�old _ <br />Address_ 5307 139th Aas. eE Snohosi�h <br />Phone_ 5�-��� <br />DESCRIP i I ON: <br />Lot_ �Q_aT— Rlock— Sa�— <br />Plat_ ��'='�s 3rd Md. <br />Un��latted Description <br />i ype Permit: <br />Remarks: <br />IMPORTANTI <br />CALL 1-800-024-5555 46•HOURS <br />PRIOR 70 DIGGING <br />CALL259b611FOft INSPECTIUN <br />SEE SKETCH ATTACHED <br />Permit Fee 30 00 <br />Connection Chargels) <br />Total Fee 30 00 <br />t�t Special Otilitp Fee Ord. 1171-85 <br />waker 152.00 <br />sev�r aeo.00 <br />ssi.00 <br />Signed — <br />Cusmmer <br />Sewer District nozth�n�� <br />Monthly Sewer <br />Monthly Sewer Constr. <br />Abutting Lot Line <br />N' S' E' V��Y�`tr�;i52U5'�iti <br />/ <br />iiikkllt�Jb4 <br />t;LCG �317.(30 <br />I`LCG 33il.lM] <br />Approved By��j��'i �yng n_ w.e�a <br />F7.11 Lil ineer,iP.Q,� <br />i> ��.}i si.s� <br />Issued By�����ngr , <br />Uf°JW'J 4v"fi.OU <br />�Nh7t ^ �i 40 <br />�� r 3�.W <br />Inspection Ey `'G"'�- <br />y OOOI.15i7� <br />Datelnspected �"� - �4f' <br />No. � 190 <br />if��PGi� i IOi�' <br />