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��� <br />ay <br />ioxx <br />�Hxti <br />Hx� <br />k n <br />H �l <br />�H�1 <br />V1 H <br />�xp <br />HC <br />��g <br />�jJ Y C�] <br />YHL�7 <br />4 <br />HH <br />gy <br />H <br />C] C7 [� <br />� � i�i <br />XHV� <br />H O U� <br />� <br />I�� <br />everett <br />� <br />City of Everett <br />�ewer Application and P�rmit <br />CHAHT NO.--___-- <br />S �� # .�. � C i;; - � r l-/� -,-� � <br />No. 26370 DATE �-�:9G7 — � <br />Service Address 5G09 SounA i.ve UN' .� Account No. <br />Billing Address 1?406 ltukilCao 5n� ?ermit <br />30.00 <br />C.ty, Sta[e, Zip 1h[xme�ntrood. t�A �8037 Connection Charge�s)_ exe�t per Ord. 1171-OS <br />Owner (Mortgagor) Annata Dc��oiTnenG <br />Billing Name snne <br />Connection By i.Lnaara Pmperties Corn_,_ <br />Address Sn,n., as Annara_ _ _ <br />Phone �S'+-2[07 <br />DESCRIPTION: <br />LotT_ Block <br />Plat -- --.�. �,,,,s--aiv-� <br />Unplatted Description <br />Type Permit: <br />Remarks: <br />IMPORTANT! <br />CALL 1-600-124-5555 48�HOURS <br />PRIOR TO DIGGING <br />CALL 259-8811 FOR INSPECTION <br />SEE SKETCH ATTACHED <br />Total Fee 30.00 <br />spncial [�tility Fce, Ord. 1171-U5: <br />water 17�.00 <br />s¢wer 00000 � <br />177.00 <br />$I(jf1C� _ <br />Cuslomcr <br />Sewer District Dond II <br />Monthly Sewer <br />Monthly Sewer Constr. <br />Lateral <br />���;U'i;';7 Ll:v'.i'dh pil0��;i�•i.,(1 :t.t.:. <br />Abutting Lo[ Line / <br />N, 5. E, W Fliiall[+HS,: ft. <br />i�.��i i41�i.J11 <br />I'Llli 3:.S.Iki <br />'r1f.CN �r§'7.:LI <br />f: �,J•�H i3.:t� <br />Approved By L 'al�.F;y ��1T.I�11 <br />—T�s� �FoBfdAcr y., , <br />i�lU 11(�'i:�i:j <br />lssued By �hil "I` .'�U,l�i <br />. lA�: �:�I( <br />31:IJLP s_l,,lyl <br />It';i-`.; :i�Y.�NI <br />���� .��'rdl <br />Inspection By i �'� — <br />Date Insoected G � �'�� <br />I i��:::i�i�S;-i�i i':��' <br />No. 26370 <br />