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i <br /> CHART NO._ <br /> everen i„ c��z�'Y 10-22-ee <br /> e <br /> City of Everett <br /> Sewer Application and Permit <br /> No. 26606 DATE Pliwelit <br /> 29 tem <br /> Service Address 712AB 60th St SW Utility Account No. <br /> Billing Address F.O. sox 40476 Permit Fee 30.00 <br /> City, State, Zip Bellevue, VA 98004 Connection Charge(s) 330_00 <br /> Owner (Mortgagor) Doryan Construction I DevelOP"I total Fee 10-00 <br /> BillingName _ ordinance 2171-85t <br /> Buie water 261.00 <br /> Connection By Same sewer 608.00 <br /> $949.00 <br /> i <br /> Address Signed l <br /> Cmronvr <br /> Phone 641-8783 <br /> DESCRIPTION: Sewer District Pt 111 TTt <br /> Lot 6 Block — Monthly Sewer Service <br /> Plat15-115 <br /> Unplatted Description Monthly Sewer Constr. <br /> Ti ink <br /> Typo Permit: tJAM ftipum'WAA: 11:4(.441 OtI0R11 /4 Wt <br /> Lateral <br /> llutweotft <br /> Remarks: SEMR 130.00 <br /> Abutting Lot Line F44D11[ 6:30.1X1 <br /> N, S, E• Wfit?3-'.4-- 747. 0 <br /> 1100111970y <br /> FCN 4670.00 <br /> PLN 04 6110.67 <br /> Approved By <br /> H IRO. 63.50 <br /> _- �— <br /> l g, <br /> 1.�7 # U.011 <br /> IMPORTANTI i1(k1t105 W <br /> Issued 6y w.r9uMlZ#E�—�nt- <br /> CALL 1-800-424-5555 48-HOURS I.Itl,:p; x :21M,t 1 <br /> PRIOR TO DIGGING <br /> CALL 259-8811 FOR INSPECTION A,0 <br /> D"&4w9Reete& <br /> SEE SKETCH ATTACHED NO. 26606 <br /> INSPECTION <br /> i <br />