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everatt <br />e <br />City of Everett <br />Sewer Application and Permit <br />CHAFT N0. <br />No. 25544 DATE �! t'�h 25. 19R6 � <br />ServiceAddress_L526 . 51�t CL SY UYility Accoum No. <br />� Billing Address »��l Ae het 11 Frt Nw !? <br />City, SWte, Zip Betlr'�1 YA 98012 <br />Owner (Mortgagor►Lnsley bsstrnetlen <br />Billing Name �� <br />Connection By y� <br />Address- AMw� <br />Phone i81-HR66 <br />.� r >o LF/�i'/-' Ti.r/rf <br />3 _ .3�_ 8� <br />Permit Fee_ �f1 nn . <br />Connection Charge(s)_.�(pne <br />Total Fee_ 3�_fl� <br />Speetel Se�rer Ch�s Ord 117T-S5 <br />Mater � 224.00 <br />, <br />Signed =�``'! � "'� <br />cu:ron,er <br />DESCRIPTION: Sewer District n�71fJ II <br />Lot 21 Block <br />Plat y111ew Creek st� Monthly Sewer Service <br />Unplatted Description Monthly Sewer Constr. <br />Type Permit: <br />Remarks: <br />Nar coenactton <br />IMPORTANT! <br />CALL 1-800�424-5555 48-HOURS <br />PRIOR TO DIGGW� <br />CALL 259�6811 FUR INSPECTION <br />SEE SKETCH ATTACHED <br />Tru <br />Abutting Lot Line <br />N, S, E, W. <br />Approved By_ I� Thpl <br />City Engineer <br />Issued By S (iranaaA __ <br />Inspection By �/_�f�:s�"—�— <br />� v <br />Date Inspected 3' � �� <br />No. 25544 <br />INSPErTION <br />