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everen <br />� <br />City of Everett <br />Sewer Appli��tean and P�rmit <br />N 0. G��� J UATE nacember ao, 1985 <br />Service Address 10507 — 9th Driva SE <br />Billing Address- 9222 — 3sd rlace SE _ <br />CHART <br />�`p .v��v <br />�',h��'.�ii�?/Cr' <br />� "' <br />G� <br />3-/7-�� <br />Utility Account No <br />Permit Fee 30.00 <br />City, State, Zip �rereit. N]l 98204 Connection Charge(s) 330.00 <br />Owner (Mortgagor) Bob Oever ConsEruction <br />� . ...,: 1. ., <br />Connection By__ <br />Address_ <br />Phone <br />DESCRIPTION: <br />Lot x <br />Plat _��P 3I-84 <br />Unplatted Description <br />Type Permit: <br />Remarks: <br />Block <br />IMPORTANT! <br />CALL 1-800-024•5555 48-HOURS <br />PRIOR TO DIGGING <br />CALL 259-8811 FOR INSPECTION <br />SEESKETCH ATTACHEp <br />Total Fee 30.00 <br />Saxer Developacnt Fee, Ord. 1171-65 <br />Single Family Re�eiBence - water i79.00 <br />. � �\ _ sewer 471.0@ <br />��� `� � �\ <br />` � ,< ^OTAL $650.00 <br />Signed � � ` � ' \ <br />Customer <br />Sewer District <br />Monthiy Sewer Service <br />Monthly Sewer Constr. <br />Lateral <br />Abu[ting Lo: Line <br />P1,S,E,W <br />Approved By <br />City Engineer <br />Issued ESy_ 1+laraaret S, k.cl,eod <br />inspection By`s'��' ' <br />Date Inspected 3—c�'g� <br />No. 25389 <br />i'':::P ��Ci'! 0 ��J <br />