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everett <br />� <br />City of Everett <br />Sewer Application und Perrv�it <br />CHART <br />SC-'i✓i Tc.� C,va,e?�v[. /�/3/8v <br />N0. 255�� DATE __ Dtarch 13 1986 � <br />Service Address_ 8823 - 9th kYe SE Utility Account No. <br />eilling �ddress 713 5E Eve^'eft Mall Way <br />City, State, Zip_ Everett WA 98204 <br />Owner (Mortgagor) n"onln t{om 5 <br />Billing Name_ Same <br />Connection By Same <br />Address—_ Ahnv <br />Phone___ �K3-6F00 <br />DESCRI?TION: <br />Permit Fee 30_00 <br />Connection Charge�s)_�_Of1 <br />Totai Fee �n_nn <br />Serrer Der Fee Ord 1171-85 <br />Water 179.00 <br />Sewer 471.00 <br />5� 0.^D <br />>.. _ -` %' _� <br />Signe� ��� � i <br />Customer � <br />Sewer <br />Lot A9 Block <br />Plat _ �!E YaeM B1v 5 Munthly Sewer Service <br />Unplatted Description Monthly Sewer Constr. <br />Type Permit: <br />Remarks: <br />IMPORTANT! <br />CALL 1•800�424-5555 48-HOURS <br />PRIOR TO DIGGING <br />CALL 259-8871 FOR INSPECTION <br />SEE SKETCH ATTACHED <br />Tru <br />Abutting Lot Line <br />N, S, E, W <br />Approved By n � Tlteel <br />Ciry Engineer <br />Issued By�r..,.�,,,,.�,� <br />. • . '. ,Il� `� _i� li►� <br />_ � <br />� �' •'. • ����✓'� . <br />r � � • <br />� <br />r.��r�cr� �o;�.� <br />