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everett <br />e �= .�J <br />City of Everett <br />to J U 'v, 4,4 <br />rj <br />.A <br />Sewer Application and emit <br />27650 <br />NO. DATE March to 'loop <br />Service Address <br />Billing Address P.O. Bo: 700 <br />City, State, Zip Mukilteo. WA 96275 <br />Owner (Mortgagor) Select Homes <br />Billing Name Same <br />Connection By <br />Phone F?7-e19S <br />DESCRIPTION: <br />Lot 13 Block <br />Plat rtlenhaven Heights Div 2 <br />Unplatted Description <br />I ype Permit: <br />Remarks: <br />IMPORTANT! <br />CALL 1-800.424-5555 48-HOURS <br />PRIOR TO DIGGING <br />CALL 259-8811 FOR INSPECTION <br />SEE SKETCH ATTACHED <br />Utility Account <br />Permit <br />CHART NO. —_ <br />�-c Pcs-t-i <br />J 5': ^ S <br />Connection Charge(s)_ i1n_ no <br />Total Fee <br />Ordinance 1171-85: <br />water k2lyss 179.00 <br />sewer 471.00 <br />650.00 <br />Signed <br />Sewer District Bond T <br />Monthly Sewer <br />Monthly Sewer Constr. <br />Trunk 110.00 <br />Abutting Lot Line <br />N, S, E, W, <br />Approved By ALFRED R_TttBAL-_ <br />City Engineer <br />Issued By Margaret P. McLeod <br />Inspection By — <br />Date Inspected 7"" " $'o <br />No. 27650 <br />