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everett <br />� <br />City of Everett <br />Sewer �pplicca�ion and Perr�,it <br />CHART N0._ — <br />—_ `' - �. _-, <br />No. 2���� DATE x Segtr�ber iz, ieao �— <br />Service Address 10909 9th Dr. S� Utility Account No. <br />Billing Address P O Pox 59� <br />City, State, Zip I.k Stenatta. WA '�2258 <br />Owner (Mortgagor) i;alum & S�ith <br />Billing Name sama <br />Connection By_Sama _ <br />Address Eame <br />Phone 6sz_2n�s <br />Permit F <br />Connection Charge�sl�3�p� _ <br />Total <br />L•tility Developsent Fao Crd. 1171-PS <br />wator I79.OD <br />scuror 471.00 <br />GSO.CO <br />Signed <br />Customer <br />DESCRIPTION: Sewer District �:-�:�r��.�,��r�r-�;�; ' <br />L.ot 17 _ Block % <br />Plat Iarson Pl. Monthly Sewer Servi,Fg�„�__ <br />Unplatted Description Monthly Sewer Con�s�'r `�� •i)"��� <br />�lrlt l :0.(i�) <br />Trunk "330:00 "'-'��'�� <br />Type Permit: flew Oonner_tion � "� '• �"` <br />Lateral i:l.G�'s a:;5:'.'�0 <br />��_ <br />Remarks: r.ICH .?:i,�ri <br />— Abutting Lot Line�; r;�;�,K ; �,�� <br />N, S, E, Wa �,�>,•�— •T-.?—� �': �. ft. <br />t�i:�l�v; .:`11,Q('� <br />.. ii!iIj:11U01:� } . <br />i�11�IC.�'' 'r,II.C+{1 <br />�.IL'�� � : i.',;ti'.'.flU <br />IMPORTANT! <br />CALL 1-ii70-424-5555 48-HOURS <br />PRIOf� TO DIGGING <br />CALL 259�8811 FOR INSPECTION <br />SEESKETCH ATTACHED <br />Appraved By <br />� iry Engmccr <br />Issued By �.. ., <br />,�� , <br />: " / � � /' <br />/ . <br />Inspection By ` G <br />Datelnspected� <br />No. 26�33 <br />li�!�PG(:I i(ii! <br />