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everett <br />e <br />City of Everett <br />Sewer Appiication and Permit <br />NO. L��L� DATE �p=!1 Zl, 1986 <br />CHART N0. <br />.�E�v.- To Cft�It�J>.:�o �/5-/� 7 <br />Service Address �� s� pl � Utility Account No. �i��� <br />s �� si.su <br />18201 sot1u11 Ewr�tt Hiry !2 36.�;H i15.D0 <br />Billing Address Permit Fee �� ���.� <br />City, State, Zip ��11' ��� Connection Cfiarge(s)_ !�t►rYit70•OO,t4.W <br />iiEi�l :19.',i0 <br />Owner (Mortgagor! �� CO°��°QtiOQ Total Fee �� ���•� <br />S� Spacial !�. osdina�Yl�i-8Si i813.00 <br />Billing Name �� ��•� <br />] 1 i 1-5 S�.`'k.00 <br />Connection By a� aC�J050EA <br />�` i�111ER. 36U.Op <br />Address Signed ,� %�'- � %`"Nfi�plGi�'9 <br />c�s� ���3.Q0 <br />Phone fil-fs866 ��; 44,�.� <br />NECH .14.;iU <br />DESCRIPTION: Sewer District �'u'� 3:7D-�� <br />Lot � Block E fRLH fi;5.(Al <br />Plat tf�iler t�rt GLn Monthly Sewer ServiCe� 41 "t�— <br />k�li� I1 #270.CMI <br />Unplatted Description Monthly Sewer ConsLf,t�FR a30.(ifi <br />1171 � 4�I:;.W <br />Trunk uiimu�+oa <br />Type Permit: 11w OowMetim ��, ��,� <br />Lateral t��y�lilui53 <br />F�marks: <br />ELGG ',2Q3.00 <br />Abutting Lot Line f'L(b.i ti�w.�i0 <br />(�, g, E, yy 'clfG7i }�7.9. i0 ft. <br />URINJ'i g20.0ii <br />G !;i�CH ll.;� <br />E t;k'�H �15.G0 <br />P.ND I] t�70.CN <br />Approved By �� � <br />gineer . ).( <br />IMPORTANT! 1Z71-S 381?.[q <br />CALL 1-800�424-5555 48•HOURS ISsued By_� P j E o�.MCLod <br />PRIOR TO DIGGING G}1kCl; ;;567�.fN] <br />CALL 2595811 FOR INSPECTION <br />SEE SKETCH ATTACHED <br />Inspection By'��`� <br />Date Inspected /� �-�'L <br />No. 256?4 <br />INSP6CTION <br />