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everetl <br />e <br />City of Everett <br />CHART NO <br />,.� , _ �- , <br />Sewer Application and Permit <br />No. 26589 DATE Herch <br />Service Address 5u »��p �L i� iidg i <br />Billin� qddress �+ ++� � �+ �a <br />City, State, Zip ��,,;A�ul�, M11 vaaza <br />Owner (Mortgagor) X� M�p <br />Billing Name --- -- - <br />Connection By <br />Address -- <br />Phone <br />DESCRIPTION: <br />Lot <br />Plat <br />Unplatted Descr <br />Type Permit: <br />Remerks: <br />Block <br />IMPORTANTI <br />CAIL 1A00-024-5555 471�HOURS <br />PRIOR TO DIGGING <br />CALL 259�8811 FOR INSPECTION <br />SEE SKETCH ATTACIiED <br />��o <br />Utility Account No. <br />Permit Fee 30.00 <br />Connection Charge(s) 950.40 <br />Total Fee 30.00 <br />� -� i -g�� <br />Special Otllity Fem OrA. 1171-BS <br />wstet 1034.55 <br />�ewez 2727.45 <br />376Z.00 <br />Signed <br />Qyf?.�[!R/l:t; {�:�I�+li�t IM1f41.h1";'( Ilit <br />L� i ItRI`�(i"�'.' <br />Sewer District iYilF�ond [IIL1ll <br />1:(1Ul P;'�'�'_� <br />Monthly Sewer Se�MiIp9LP aE.�� �U� <br />Iq� �f I:''b5b' i <br />_ Monthly Sewer ConS�y �t t'�l.ld� <br />li'il-'� lT�t:.�lll <br />— Trunk ylYL�9SO�n10 <br />`A:IdIF` !30.(pJ <br />Lateral ti.i!, a;.�.� ivi <br />�uxu��r�s� <br />Abutting Lat Line•�-��� '� `�•�k� <br />N S� E� �ylitl!111 14.���11 it. <br />—' 1]7l-i i t%t�.�.lMl <br />iii"M It7:'r,`,.��11 <br />'a 1 Lh i:ill.lA <br />I I'� i '� '.;7f.; .lhl <br />Approved By A�.�D'12P•�'�. <br />Ciry Enqineer <br />Issued By 3usv__mua�n <br />' � � . <br />� ` � i - <br />Inspection B� <br />Date I nspected '�'�' — <br />' No. 26589 <br />I�. .�L�:�� IC;fI <br />I <br />