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everen <br />� <br />City oi Eaerett <br />Sewer �►pplicction and Permit <br />No. 25975 DATE ���r 19. 1986 <br />Service Address_ 21zn - iaet.. vi sc <br />Billi�igAddress s� __. <br />City, State, Zip_ �ntt. N11 3Ft20C <br />Owner (Mortgagor) o_n,_ty��� <br />Billing Name 8"�"° _ <br />Connection By n� �ckalo Const. <br />Address ._. <br />Phone 481-550: (Mickelo) <br />DESCRIPTION: <br />Lot Block _ <br />Plat <br />Unplatted Description <br />Type Permit: <br />Run�arks: <br />IMPORTANTI <br />CALL 1�800-024�5555 48�HOURS <br />PRIOfl TO DIGGING <br />CALL 259�8811 FOR INSPECTION <br />SEE SKETCN ATTACHED <br />CHART N0. <br />' �%9 P:: <br />Utility Account No. <br />Permit Fee 30.00 <br />Connection Charge�s)_ 33J.00 <br />Total Fee 3G`,00 _ <br />bpeci�l t�tility Fea, Ord. 1171-85s SC00.00 <br />Signed <br />Sewer Distric[ Bond III <br />Monthly Sewer Service_ <br />Monthly Sewer Constr. <br />Lateral <br />Abutting Lot Line <br />N, S, E, W. <br />/ <br />I APProved By � R. TF:FJIL <br />Cily EnOineer <br />Issued By �'�+=9��t S. MCLaod <br />7 <br />Inspection py <br />Date Inspected�� <br />No. 25975 <br />