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everett <br />e <br />City of Everett <br />Sewer Application and Permit <br />No. 25541 DATE 11�K� ?S� lonR <br />Service Address_ 1�14 - 57 st �L Sli <br />BillingAddress_ 1a2M aetir9l h t Mw <br />City, State, Zip �eth�l l YA98D12 <br />Owner (Mortgagor�___Lesslw Cosstrnctlon <br />Billing Name Sw <br />Connection By S+� <br />Address- AMve <br />Phone- 111t.Mt66 <br />CHART NO. <br />Utility Account No. <br />Permit Fee ZO_DO <br />Connection Charge(s)— �.r.X �70 09 <br />Total Fee 30_�0 <br />OM. 1171-85 ��RX f613.00 <br />s <br />Signed %� '- � <br />' � " Cusromer <br />DESCRIPTION: Sewer District ��. <br />Lot 6 Block Monthly Sewer Service <br />Plat �L�14!! dtiek 61 en — <br />Unplatted Description Monthly Sewer Constr. <br />Permft: New coeMttio� <br />Remarks: <br />IMPORTANT! <br />CALL 1500�24-5555 48-HOURS <br />PRIOR TO DIGGING <br />CALL 2595817 FOR INSPECTION <br />SEE SKETCH ATTACHED <br />Trunk ���9p <br />Lateral <br />Abutting Lot Line <br />N, S, E, W ft. <br />Approved By <br />[ gi <br />Issued By <br />InspectionBy—. ��P��=�'�- <br />Date inspected ,//- � -�� <br />rvo. 25541 <br />INSPECTION <br />