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' Le <br />v ire <br />City of Everett <br />Sewer Application and Permit <br />Na 26615 DATE April 4, 1988 <br />Ne <br />Service Address <br />Billing Address <br />12.05- l 5F, <br />13911 19th Ave. 3B <br />City, State, Zip <br />17016 15th Ave. NE <br />&cattle, WA 93155 <br />Owner (Mortgagor)_meLecl___Cbnat <br />Billing Name <br />Connection By <br />Address <br />CI <br />Phone <br />CHART NO. <br />05/02i0S 1U=46 t% 000M10.391 1.133 <br />!i.00026615 <br />tiEWER $30.00 <br />(*10111 $1540.00 <br />€4410097653 <br />1171-5 $200.64 <br />Utility Account No <br />Permit Fee --30.00 <br />111 <br />1171-5 ;0054.000 <br />E,nnni riPS11 <br />Connection Charge(s) <br />Total Fee 30.90 <br />{1.013 +1931.00 <br />H Pr; X450_00 <br />iu.Ell i675.00 <br />imithak 15+669b <br />E4'.;U $10.,00 <br />''11t30i1`i;U <br />-Special -Utility ogyiq0.. 1171-85 <br />Watch . 7 <br />sewer 510q0914111X 5e. h.0P <br />CC0a3VCIF 41 ',MAP <br />' ii 47:`:9 <br />Signed <br />DESCRIPTION: <br />Lot Block <br />Plat <br />Unplatted Description <br />Type Permit: <br />,.ew connection <br />Remarks: <br />IMPORTANT! <br />CALL 1-800-424-5555 48 -HOURS <br />PRIOR TO DIGGING <br />CALL 259-8811 FOR INSPECTION <br />SEE SKETCH ATTACHED <br />Sewer District <br />Cujtoti 1.41.00 <br />H00005804 <br />E ITEf $60.00 <br />1!004 SI.; III <br />E.i.UfJ *i931.00 <br />Monthly Sewer Servjc, c : .�1J <br />i4ECH i675.00 <br />Monthly Sewer Con tr ii $3.50 <br />t. 5tiCH $i11.00 <br />Trunk ;;C00007,--25 <br />(WATER .60.00 <br />Lateral 10071.'„7; <br />BLDG $969.50 <br />Abutting Lot Line FL.E33 $540.00 <br />N, S, E, W r;FLI! x42471-1150 ft <br />F'Lii CH 1.0.64 <br />I; $RCN 8.3.50 <br />E Jkl'H `x10.013 <br />11000005806 <br />Approved By rfes 1 <br />1'r+ne <br />Issued By <br />Inspection By <br />Date Inspected <br />uSy 1'augbn <br />INSPECTION <br />NO. 26615 <br />