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cHaRr No. <br /> everett <br /> � <br /> City af Everett Sc=tir ro C//9/'7i,a'�r 6-2 7 <br /> Sewer Application ond Permit <br /> No. 25422 oA-rE J�ue�• aa. 19ti6 <br /> Service Address 10509 loth Drive S.S. Utility Account No. <br /> Billing Address 1321 S.S. Evarett Mall way Suita I Permit F�e �^ 00 I <br /> City, State, Zi� �rett, Wa. 98204 _ Connection Charge(s) 3�0.00 <br /> kor Realty 30.00 <br /> Owner (MortgagoY}jO° Totzl Fee <br /> Sewr Ordinance #1171-85 <br /> Billing Name ��R- 189.OD <br /> Connection By 5L�iJER- 471.00 � �g <br /> G50.0� <br /> Address Signed — <br /> Customer <br /> Phone 348-3635 <br /> DESCRIPTION: Sewer District Boad III <br /> Lot_ 19 Block MonthlySewerService �•50 <br /> r lat Fir �roa� <br /> Unplatted Description _ Monthly Sewer Constr. <br /> Trunk 330.00 <br /> Type Permit: Naw Connectiou <br /> Lateral <br /> Remarks: <br /> _ Abutting Lot Line <br /> N, S, E, W ft. <br /> A.R. Thea7. <br /> -- Approved By <br /> Ciry Engineer <br /> IMPORTANT! L•'. Bon�i <br /> Issued By <br /> CALL 1•500-424-5555 48-HO U RS <br /> PRIOR TO DIGGING <br /> CALL 259-8817 fOR INSPECTION I/,y�/, ^ _ <br /> Inspection By 1��/�� �''��� ' <br /> _ �Date I nspected S���i�i�o _— <br /> SEE SKETCH ATTACHED No. 25422 <br /> If�!SPGC�.-i IO;�t <br />