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everen <br />e <br />City of Everett <br />Sewer Qpplication and Permit <br />NO. ZSGG� DATE ■ �� �� �n�e <br />CHART <br />SE.�i ro cN�t!'r�uw �5/87 <br />t�i�e� �=s� twaaai�oa t�tt <br />E SRl:H S15.W <br />Service Address ���r� /� 3y Utility Account No. �{pg ��&'t gp -- <br />ft[+�i 924.00 <br />Billing Address �p�.�— Permit Fee , <br />OR�AdY A�0.00 <br />City, State, Zip Connection Chargels) <br />': <br />SE1E12 +63Q.G0 <br />Jwner (Mortgagor) Total Fee , <br />Ord.1171-�l5 y11n4df� <br />Billing Name UN3TER �fA.p(i <br />q1�tl163�r9 <br />Connection By CYi�i 4��1;i.W <br />, � E�F�i . i�.C10 <br />Address_ Signed " , <br />Cu r <br />p�r.u�n� szo.00 <br />Phone E SRCH 415.UD <br />DESCRIPTION: <br />Sewer District �' � �1.`A <br />Lot 2 @lock Monthly Sewer Serv���` ��'� <br />Plat �� � " <br />Un latted nescri tion Monthly Sewer Con �B <br />P p iEF. Sf�.l� <br />Trunk �163;1 <br />Type Permit• Nw ton�e -� h� <br />Lateral PLE'�l; Sc4,00 <br />,.: <br />Remarks: DktlkMi ��_U.Ott <br />Abu:ting Lot Lineb �� gZ.� <br />N, S, E, W� .. , ft. <br />[�it? Ii i271t.00 <br />— i;Q00.7`.i;;23 <br />:iEbfR �30.[M) <br />i1i1-i 3f�13.0U <br />Approved By ' <br />� . �dU.C10 <br />IMPORTANT! �����` �'�"•W <br />CALL 1500-4Z4-5555 48•HOURS <br />PRIOR TO DIGGING <br />CALL 259-8811 FOR INSPECTION <br />SEE SKETCH ATTACHED <br />Issued By <br />Inspection BY � �'�� <br />Date lnsp�cted ��" � - �L <br />INSPECTION <br />No. 25623 <br />