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ki <br />City of Evarett <br />Sewer Application <br />NO. 25687 DATE <br />8 <br />�8R88� 8 B <br />(} —. U% W) G -O --. <br />M <br />c ng f*rmitO <br />an July 1. 1"6 <br />CHART NO. <br />J <br />Service Address 4312 Ra*ar A" Utility Account No. <br />Billing Address T.O. 3bX MG _ _ Permit Fee <br />City, State, Zip ="Watt, OR 93203 Connection Charge( <br />S-ate- 87 <br />Owner (Mortgagor)._ D.A. iraadeold Total Fee 30.00 <br />Billing Name D.A. trand"ld <br />Connection By D.A. Anad"ld <br />Address P.O. lies 3066 Z"Watt"20 3 <br />Phone AS-4m <br />0psclal fees, OrQiaaaas 1171-SSt <br />tail "tar 71.78 <br />1 r 261.00 <br />22 <br />2. <br />Signed _ <br />stonier <br />DESCRIPTION: Sewer District <br />Lot +++_�a4--- Block_ l <br />Monthly Sewer Service. <br />Plat esrts" task 111111111 <br />Unplatted Description _ Monthly Sewer Constr. <br />Permit: <br />Remarks: <br />IMPORTANTI <br />CALL 1-800.424-5555 48-HOURS <br />PRIOR TO DIGGING <br />CALL 259.8811 FOR INSPECTION <br />SEE SKETCH ATTACHED <br />Ttj <br />Abutting Lot Line <br />N, S, E, W <br />Approved By ALr= A. '17atAL <br />City Engineer <br />Inspection BC4414W-- <br />Date I nspected s -/f -d 7 <br />No. 25687 <br />INSPECTION <br />