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everett <br />� <br />Ci4y of Everett <br />Sewer Apr;�cation and Permit <br />n,o. 25399 DATE 1/ti/a6 <br />8811 9th Avenue S.F.. <br />Se�vicc H:idress <br />713 S.E. E\nnrett Mall t�ap <br />Billing Addrr.�ss <br />City, State, Zip ��°L°tt, Wa. 98204 <br />Owner (Mortgt�gor�renin Custom FIanes <br />Sm �t <br />Billing Name <br />Connection Bv <br />Address __ <br />Phone 353-2190 <br />DESCRIPTION: <br />Lot 35 Block <br />Plat kountain ��iew i5 <br />Unplatted Description <br />Type Permit: <br />Remarks: <br />Ner+ Conaection <br />IMPORTANT! <br />CALL 1-800-024 �555 48-HOURS <br />PRIOR TO DIGGING <br />CALL 259-8811 FOR INSPECTION <br />SEE SKETCH ATTACHED <br />CHART <br />,SF.vi F.c C,�;%9.e�r��✓G- <br />,� -i 7 -B � <br />Utility Account No. <br />Permit Fee ' <br />Connection Charge� <br />30.00 <br />330.00 <br />30.00 <br />Total Fee <br />Ordittance 1171-U5 <br />Hater 179.�0 <br />�ewer Q71�00 , <br />Signed <br />Cus[omer <br />Sewer District �nd III <br />Monthly Sewer Service �''� <br />_ Monthly Sewer Constr. <br />' Trunk 330.OU <br />1 Lateral _ <br />Abutting Lot Line <br />N, S, E, W, <br />Appro��ed B�• R. Theul <br />Ciry Engineer <br />E. IIond <br />Issued By <br />Inspection By�' 't"'" \ _ <br />Date Inspected � -�% " _. <br />No. z�ss� <br />If�'�?CC1 i�'r0i�:i <br />