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CHART NU. ' <br /> evereri <br /> •To ��T��fi <br /> � 3-Z 1-y t <br /> City of Everett <br /> I <br /> Sew�r ,i4p►�slication and Perrriit <br /> Np, 2 5� r r DATE Feb. 27, 19A6 _ I <br /> 12012 14th nzive S.E. Utilit Account No._ I <br /> Service Address Y <br /> I f3illing AJdress 1N204 Bc�thell Everett fiiqhway fl'L permit Fee 30.00 _ <br /> I <br /> Botholl, Wa�shington 90012 Connection Char e1s) 330.00 <br /> City, State, Zip 9 <br /> Owner (Mortgagor) <br /> Lesaley Construction Inc. TotalFee_ 30.00 <br /> Billing Name Or.dinanae 1171-a5 <br /> taater-��79.OQ <br /> Connection By Sewer s171.00 <br /> 650.00 <br /> Address Signed <br /> Customer <br /> Phone 4fl1-4866 <br /> DESCRIpTION: Sewer District F,oru� II . <br /> Lot 12 Block I <br /> Plat Silver 7«1kE" V�9�R Monthly Sewer Service__ <br /> Unplatted Description Monthly Sewer Constr. I <br /> Trunk 33n_oo <br /> Type Permit: u � <br /> Lateral <br /> Remarks: <br /> Abutting Lot Line <br /> N, S, E, W ft. <br /> � — <br /> i I <br /> Approved By A.P.. Theal _ <br /> Ciry Engincer <br /> IMPORTANT! F.. 23ond <br /> Issued By __ <br /> CALL 1�500�424-5555 48-HOURS <br /> I PRIOR TO DIGGING <br /> CALL 269-8817 FOR INSPECTION -�� . � i <br /> � I����:��".;)L ' ;�iri.�c. ��� <br /> Inspection By � • - <br /> i /J' �� O <br /> � _ Date Inspected� ���� � �' <br /> SEE SKETCH ATTACHED NO. ��� 77 I <br /> , , _ , � '�:�_ <br />