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eve <br />rett <br />Fi <br />of Everett <br />Sewer Application <br />NO. 26300 DATE <br />e� <br />r M <br />and Pe 9 <br />7wquet 11, 108� <br />Service Address 1.414 61 A t _CH <br />Billing Address <br />City, State, Zip Snohomish, WA 99100 <br />Owner (Mortgagor) pxgafljc� -llcb4- <br />Billing Name Sane <br />Connection By <br />Address 1AW Sam* <br />Phone <br />DESCRIPTION: <br />Lot 1 Block n <br />Platy-2 <br />Unplatted Description <br />Type Permit: <br />Remarks: <br />IMPORTANTI <br />CALL 1.800-424.5555 48-HOURS <br />PRIOR TO DIGGING <br />CALL 259M11 FOR INSPECTION <br />SEE SKETCH ATTACHED <br />CHART NO. <br />SEN'�o eA4101/416 /p/3//d7 <br />SEER <br />M .11 <br />Utility Account No. <br />Permit Fee 30.09 <br />Connection 958.60 <br />Total Fee 30.08 <br />Special Utility the Ord. 1171-05 <br />water 261.00 <br />Sewer 666.00 <br />Signed <br />cu+,o", <br />Sewer District 1 <br />Monthly Sewer <br />Monthly Sewer Constr. <br />Trunk 193.20 <br />Lateral 983.60 <br />Abutting Lot Line <br />N, S, E, W. <br />Approved By <br />n e <br />Issued By 6=7 — <br />Inspection B <br />Date Inspected �/ 1 -VIi <br />No. 26300 <br />INSPECTION <br />