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everett <br />� <br />City of Everett <br />ti': <br />; <br />C�� f1 Gi � '1 p : I <br />� �IY1 �l O ��� �� ��� <br />c,�c�; � �:.u,�o.:.c <br />p,'��' •., -.� L �: C_ . p c� r�l : <br />�al .-: tY' iA e. z.i r <br />y� <br />CH!'�RT N <br />�V CI-iA�2 TINL-� <br />S�wer �lppiication�a�c�.P;e�ri�it . - . _ <br />ti� ;;r.= ==;-=n�� <br />N0. G�`��p DATE� �� Marct� 7.�990 �L_ - <br />Service Address _ . Utility Account Na. <br />Billing Address 1'•0. Hox 70(3 <br />City, State, Zip Mnkilteo wA 98275 <br />Owner (Mortgagor) 5elect Haaes <br />Billing Name `»a <br />Connection By Sazue <br />Address Saae <br />Phone 827-8196 — <br />DESCRIPTION: <br />Lot g+ Block <br />Plat <br />Unpiatted Description <br />Type Permit: <br />Hemarks: <br />IMPORTANT! <br />CALL 1-80G�4�4-5555 48•HOURS <br />PRIOR TO DIGGING <br />CALL 259-8811 FOR INSPECTION <br />SEESKETCH ATTACHED <br />Permit Fee 30 00 <br />Connection Charge(s) 110 00 <br />Total Fee 30.00 <br />Otility Development Fee Ord. 1171-35 <br />watnr 179.00 <br />sewer 471.00 <br />650.00 <br />Signed <br />Cus:omer <br />Sewer District &ond T <br />Monthly Sewer <br />Monthly Sewer Constr. <br />Trunk i�o_oo <br />Lateral <br />Abutiing Lot Line <br />N, S, E, W <br />Approved By TFRFn R TAFAT <br />Ciry Enginci�r <br />Issued By G� R� f�a,+qa�� <br />Inspection B���«`" � <br />Date Inspected �C� ;f �'G <br />If:;.'i'LCl'I JiJ <br />NO. 2 S ��Q <br />