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everen <br />e <br />City of Everett <br />Sewer Appl <br />No. 27834 <br />c <br />cT� <br />IF <br />ication and Permit <br />DATE July 1-1, 1990 <br />Service Address_ ctin !t a Ave Ii <br />Billing Address 4004 11 Colby "a <br />City, State, Zip_ xvmriiyett. Seel 902o4 <br />Owner (Mortgagor) <br />Billing Name ,..-- <br />Connection By_ W4114 7oys� and Annee <br />Address 12104 NG iea sr EfSVE <br />Phone 339-2515 <br />DESCRIPTION: <br />Lot B <br />Plat <br />Unplatted Description_ <br />Type Permit: NEW Connection <br />Remarks: <br />IMPORTANT! <br />CALL 1-800-424-5555 48-HOURS <br />PRIOR TO DIGGING <br />CALL259-8811 FOR INSPECTION <br />SEE SKETCH ATTACHED <br />CHART N <br />SE82 8r <br />8 o ri <br />ai Pc <br />X w <br />C d <br />Utility A :count No. <br />Permit Fee 30.00 <br />Connection Charge(s) 720.00 <br />Total Fee 30.GO <br />Utility Development Fee Ord. 1171-85 <br />water 224.00 <br />sewer 589.00 <br />813.00- <br />Signed <br />Customer <br />Sewer District 13on8 <br />Monthly Sewer <br />Monthly Sewer Constr. <br />Trunk 270.00 <br />Lateral 450.00 <br />Abutting Lot Line <br />N, S, E, W. <br />Approved By <br />City Engineer <br />Issued By SUsy Hauaen <br />Inspection By <br />Date Inspected <br />1I SPECTION <br />No. 27834 <br />