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everett <br />e <br />City of Everett <br />Sewer Application and Permit <br />No. 25685 DATE <br />Service Address_ 3430 Wetmore Atre <br />Billing <br />City, State, Zip <br />1231 S. DireeWC tit. <br />Seattle, Ifa 96108 <br />i e 91 1996 <br />Owner (Mortgagor) irm ornatracUoa Co., Inc. <br />Billing Name Ssis <br />Connection By_ Saes <br />Address <br />Phone <br />763-0320 <br />DESCRIPTION: <br />Lot 17.1e Block 221 —_ <br />Plat <br />Unplatted Description <br />Type Permit: Ns► Coareation _ <br />Remarks: <br />IMPORTANTI <br />CALL 1-8DO 424-5555 48-HOURS <br />PRIOR TO DIGGING <br />CALL 259-8811 FOR INSPECTION <br />SEE SKETCH ATTACHED <br />CHART NO. <br />SE,v,r To <br />00/01/06 I013" 0"01:54 tttt <br />ELF011 150r.50 <br />Utility Account No. <br />ORA go <br />P44 <br />of f90.00 <br />Permit Fee <br />--- <br />40rL—Qu.00 <br />B ;Fll1 $1.50 <br />Connection Charge(s) <br />Total Fee <br />WAIFP <br />SpacW. lees, o2di <br />1-GS <br />4 mots water <br />'ilM. .00 00.111 <br />serer <br />I12=0011672.IFJ <br />ONU.001,2W5.00 <br />Signed it8" <br />1 <br />Customer <br />Sewer <br />Monthly Sewer <br />Monthly Sewer Constr. <br />Abutting Lot Line <br />N, S, E, W, <br />A LFM n TM ML <br />Approved By <br />Gry Enpmeer <br />Issued By_ margarat s rictA" <br />Inspection By_ <br />Date Inspected - "-� <br />No. 25685 <br />INSPECTION <br />