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everett <br />e <br />City of Everett <br />Sewer Applocation and Permit <br />No. 26451 DATE powiobrr is, 1887 <br />CHART N0. <br />Sf7ilL( �CG C /(Q���� ��S—lJ� <br />Service Address 96 0 lotti ave SP Utility Account No._ <br />Billing Address i�o� a� ti nm Permit Fee iF 30.00 <br />City, State, Zip x.+hL*++ wa nttoot <br />Owner (Mortgagor) Ti�f�a�land s,�; T„� <br />Billing N�me r�� <br />Connectian Bv ca�. <br />Phone <br />Connection Charge�s) 1740_60 <br />Total <br />Special tttility Fce, Ord 1171-85: <br />vater 26.5;� <br />sewer Rs � l <br />1 �_ b's�6�36�,�'2_ �. . <br />� <br />Signe� ''i %' i� �:'"` .;1.� ,: <br />ustomer <br />DESCRIPTION: Sewer District Bond IIZ <br />Lot Block_ <br />Plat _ Monthly Sewer Service <br />Unplatted Description ���s}�Q� Monthly Sewer Constr. <br />Tvoe Permit: <br />Remarks: <br />CALL 1-800-424-5555 48-HOURS <br />PRIOR TO DIGGING <br />�ALL 259-8811 FOR INSPECTION <br />s"EE SKETCH ATTACHED <br />Trunk ��v�og <br />Lateral Q4q_�� <br />Abutting Lot Line <br />N, S, E, W <br />:.�r:�,:. .. -a,��t.�i:i,'�ii:�.':r� �,, <br />, ; ,,, , ,;,,,,; <br />�',��t I• ���'.;�;.Du <br />Approved By , � <br />' C�t 'EngiAter <br />'. I f i;� n _',iJ.l.i!1 <br />iy��;�t, ,;«u..a� <br />Issued By Mwra�q.tfg�.E.�tyyoud <br />fitn)l11;;:_"i <br />i!i.i„ .:tr;.��u <br />cl .'.II � ��...,iJ T <br />Inspection By � � � � � � �: <br />�� .. �,,..� <br />Datelnspected � � _ <br />NO. GEI��J�- <br />::: ..,:i ,� <br />