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evereri <br />� <br />City of Everett <br />Sew�r Applic�tion and Permit <br />CHART <br />5CY? � -I-r� <br />cr� rf-r r�, y <br />�/zr/�: � <br />.������-� =�-Cl-l��zr¢�iz��- -��� <br />No. 25533 DATE M•��h �n 14f;5 L� <br />Service Address $904 - 9th Ave SE Utility Account fJo. <br />Billing Address 713 SF. EverPtt Mr11 He,/ <br />City, State, Zip Everett WA 9R204 <br />4wner (Mortgagor) Cronin Custom Nomes _ <br />Billing Name Samr <br />Connection By S�hP <br />Address Abo�' <br />Phone 2d4X 45i f5nn <br />DESCRIPTION: <br />Lot�T_— Block <br />Plat Mt. Yiew /5 <br />Unplat'.ed Description <br />Type Peimit: <br />Remarks: <br />Mer� connectton <br />IMPORTANT! <br />CALL 1-SUO-024-5555 48-HOURS <br />PRIOfl TO DIGGING <br />CALL 259-8811 FOR INSPECTION <br />SEE SKETCH ATTACHED <br />Permit <br />Connection Charge(s) 33p nn <br />Total Fee 3Il..�'L <br />Special Sewer ChargQs Ord 1171-85 <br />lAater 179.00 <br />Stwer 471.d0 <br />650.00 <br />Signed `"' <br />Cusmmcr <br />Sewer District gpp�1 Tt„T,r— <br />Monthly Sewer <br />Monthly Sewer Constr. <br />Trunk 4an nn <br />Abutting Lot Line <br />N, S, E, W <br />Appruved By � � Thu.�7 <br />Ciry Engineer <br />Issued By S„ (j���n <br />Inspection By_;�1��=-- \ <br />Datelnspected �i Z Y <br />No. 25533 <br />;��i'6CTIOf; <br />