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everett <br />� <br />City of Everett <br />:z <br />` :, - - <br />F _;:��� <br />r_ - J — <br />1'� O '.'l _ n � . <br />Y o p. <br />Sewer Application and Pgri�it � n <br />�-_��'. � -J'' J��r���l <br />27470 � ``���=�=� <br />N0. DATE J+nuarv s, 1990 <br />CHART <br />SPN-I le ��Ps!fv� 7-IS•'R� <br />Service Address �014 S�it Avn. Utility Account No. <br />Billingllddress P•o• � 2z�6 _ Permit Fee 30.00 <br />City, State, Zip Everatt, wA 98203 Connection Charge�s) None <br />Owner (Mortgagor) 81ank c Blank <br />Billing Name s� <br />Connection By se'+�e <br />Address sam� <br />Phone 355^4725 <br />DESCRIPTIO�: <br />Lot a3'24 Block ao9 <br />Plat St„ Nicholu Add _ <br />Unplatted Description <br />Permit: <br />Remarks: <br />IMPORTANT! <br />CALL 1-800-024-5555 48•HOURS <br />PRIOR TO DIGGING <br />CALL 259�8611 FOR INSPECTION <br />SEESKETCH ATTACHED <br />Total Fee 30_UO <br />Utility Dovelo�au+nt Pee Oru. 1171-BS <br />vater 1'19.00 <br />smr 671.00 <br />650.00 <br />Signed <br />Cus�omer <br />Sewer District North end <br />Monthly Sewer Service <br />Monthly Sewer Constr. <br />Trunk <br />Lateral <br />Abutting Lot Line <br />N, S, L-, W <br />IApproved By aLaxEn A. TH&AL <br />Ciry Enpineer <br />� Issued By Svsy Iiauqen <br />IInspection E3y G�` <br />Date I nsaected `� `� � �`" <br />li�'GI i=C.11C'�i � <br />No. 27470 <br />