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evereR <br />e <br />City of Everett <br />Sewer Application <br />NO. 25v89 DATE <br />� <br />� <br />� <br />a <br />:> <br />and Perr�it <br />�* 4� <br />ti <br />� 1-� 'v <br />A �1�1 � ti <br />� <br />oe�nlrr la; 1986 <br />Service Address I4<^.7 122rx; St. S.E. <br />Billing Address �+.. <br />City, State, Zip_ awr�te. xA 9920� <br />Owner (Mortgagor) �o�ph Ouylc <br />Billing Name a..�. a»_��i <br />Connection By_ a�...., �c-_».,., s.�� � - <br />P.O. Bo= S�5 Bothsll 98W1 <br />Phone— 485-5011 <br />DESCRIPTION: <br />CHART <br />SE•c% T-� !/f9.CTi.u( //�2-86 <br />Utility Account No. <br />Permit Fee_ 30 00 <br />Connection Charge(s)— 330.00 <br />Total Fee 30.00 <br />Ordinanc� 1171-85� 5�00.00 <br />; I il <br />Signed � � "v .'✓ . � <br />'' CuSlOmer <br />/ � <br />Sewer District :acrui III <br />Lot Block <br />Plat Monthly Sewer Service. <br />Unplatted Description Monthly Sewer Constr. <br />Type Permit: New Cornecticn <br />Remarks: Pcaid t�y �]D 71S Rgr�r-r.ent. �+ail <br />ir�voice Por side sever ccnst:uctivn (si,ned t, <br />lcc,al prcperty rn.rn>r) imtore 11/ZllB6 tc: <br />Celis Sirong <br />3lC1c! Cc�ai St. <br />�vcrett, �A :FZU1 <br />IMPORTANT! <br />CALL 1-800d24•5555 48-HOURS <br />PRIOR TO DIGGING <br />CALL 259-8811 FOR INSPECTION <br />SEE SKETCH ATTACHED <br />Tru <br />Latera; <br />Abutting Lot Line <br />N, S, E, W. <br />I'�P:;Ci� !i. ThEkL <br />Approved By <br />Ciry C.�pinen <br />';3:r;arr,t E. tk:lec,i <br />Issued Bv <br />Inspection By ` <br />Datelnspected 0 � <br />No. 258F39 <br />INSP6CilON <br />