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everen <br />� <br />City of Everett <br />:aewer Ar�plizatit�n ar��r� Per�rnit <br />n,o. 2576g DATE �lulY 24. 19A6 <br />Service Address 105] �-�tfL^-��F — Utility Account No. <br />Billing Address �yf1�5 �re2n Isisnd 'l��� — Permit Fee '�,�n <br />City, State, Zip C,j�po Ssland '3A n�zo� Connection Charge(s) 3?,�+ nn <br />Owner (Mortgagor) _ <br />�7 <br />Connection By <br />Total Fee +i�nN_ ,p•^a:.0 r���n�:s��^^���s <br />S$pecisl ift111ty Fee Ord 1171-85 <br />�. W�tNi�316�:?1179,00 <br />; ,4ett�sr� ��71.iA0 <br />� F7.i�G 660i00 <br />9 1� L� f�� k:l�' C�Y �;54.i30 <br />Si ned � _�• <. <br />V L �.ii:lrl' :1.;iU <br />Phone �7.��y.+,g � E �nrlf °i5.t0 <br />� LVt:�' ��9.�tl <br />DESCRIPTION: Sewer istrict ;:�E��g�� j�j <br />Lot.F9r 68S 39 Block �i..�Ji1t �::aJ.O� <br />Plat Monthly Sewer Seru���-. ,^-�.'�— <br />BTeaA�ey f���nT�B ii",1-5 �o50.L�D <br />Unplatted Description Monthly Sewer Cons���� ����.� <br />Trunk ��C; 81.t.1-.'8 10 <br />Type Permii: � •��� �� <br />tew r.ennectien <br />Lateral <br />Remarks: <br />IMPORTANT! <br />CALL 1-800-424-5555 48•HOURS <br />PRIOR TO DIGGING <br />CALL259�8811 FOR INSPECTION <br />SEE SKETCH ATTACHED <br />Abutting Lot Line <br />N, S, E, W. <br />Approved By �I TpEal <br />City Engmeer <br />Issued By_�Q��!�p�q <br />Inspection <br />Date I <br />INSPECTION <br />No. 257�9 <br />