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CHART NO.____ <br /> Fe=verett <br /> Iz-lyse <br /> City of Everett <br /> Sewer Application and Permit <br /> NO. 26778 DATE July 29, 1988 <br /> Service Address 721 Ma - 50th et SN Utility Account No. <br /> Billing Address 6509 Cbseercial Permit Fee 30.00 <br /> City,State, Zip fterett- IIA Connection Charge(s) 416.06 <br /> Owner (Mortgagor) Star Custon Somas Total Fee 30.00 — <br /> ordinance 1171-85: <br /> Billing Name Ste — water 221.00 <br /> S� sever 589.00 <br /> Connection ey 813.00 <br /> i <br /> Address Signed / <br /> Customer <br /> Phone— 347-0858 <br /> DESCRIPTION: Sewer District <br /> Lot Block <br /> Monthly Sewer Serv' <br /> Platsse legal I'.IPAI }617.00 <br /> Unplatted Description Monthly Sewer Con;kra $80.00 <br /> -- -- Trunk Iib 061Z6.W <br /> E� �l3.5N <br /> Type Permit: Note connection L SWI 115.W <br /> Lateral ~1 $28.88 <br /> Remarks: 1111 26170 <br /> Abutting Lot Line%&U $30.00 <br /> -- N,(Sj, W10-tlAIN Xaaa_rtc It. <br /> 1171-5 $813.00 <br /> 4Pi11 J962 <br /> WITL-It :60.00 <br /> 11 LIE $21W.56 <br /> Approved By_—A1"9D R TREAL <br /> City Engmeer <br /> IMPOR'. 4NTI <br /> Issued By Maroaret F. McUod ._ <br /> CALL 1.800-424-5555 48-HOURS <br /> PRIOR TO DIGGING <br /> CALL 259-8811 FOR INSPECTION <br /> Inspection By <br /> _ Date Inspected <br /> SEE SKET^H ATTACHED NO. 26778 <br /> c -fQ <br /> 267 ` 8 <br /> INSPECTION <br />