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everen <br />e <br />City of Everett <br />Sewer Application <br />N0. 2726`� DATE <br />� <br />�p �:�� � ����� <br />1!S rj`,1.� � o riL7r�..+ <br />� ? 'ti L L"1 :n d �* <br />e� Q O v«+ i <br />�+• :w a � u� <br />a�_... �Pe�!!� � <br />,., .,r�� ., 3 x '� _ <br />c i� �� �� <br />� ?'�LS.r�1�.:cui�=yGS <br />-' 11uqt�t 2, 1989 <br />ServiceAddress azns ,._..ce. �,_.. <br />Billing Address 68p�,--_.�.,-F1 <br />City, State, Zip � •�,�,�9oZG4 — <br />Owner (Mortgagor� n-. � -a y� - <br />Billing Name �, -- <br />Co�neciion By���o��„��; - <br />Address <br />Phone <br />DESCRIPTION: <br />Lot 16 Block 3 <br />Plat e�wl� Yl�rl ^" <br />Unplatted Description <br />Type Permit: <br />Remarks: <br />IMPORTANT! <br />CALL 1�800-024•5555 48•HOURS <br />PRIOR TO DIGG�NG <br />CALL259�8D11 FOR INSPECTION <br />SEE SKETCH ATTACHED <br />CHART <br />�� <br />� :y <br />Utility Account No. <br />TG ��s-rt NC-, <br />s_��.� <br />Permit Fee 30.00 <br />Connection Charge(s) 720•00 <br />Total Fee 30.00 <br />Utility D�velop�ent Iw Ord. 1171-85 <br />wt�r 179.00 <br />..wr a�i.00 <br />650.00 <br />Signed — <br />cu:tomer <br />8e �er District �d II — <br />Monthly Sewer Service <br />Monthly Sewer Constr. <br />Trunk 270 00 <br />Lateral /50 00 <br />Abutting Lot Line <br />N, S, E, W <br />Approved By <br />City Engineer <br />Issued By_ <br />Inspection <br />Datelnspe <br />INS°EC iiON <br />No. 2'7265 <br />