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i <br />City of Everett <br />Sewer Application and Permit <br />J./10/F <br />N0. DATE ._- <br />1711 S. a u 63rd Street S.E <br />Service Address__ <br />ZXIXZxxkx <br />Billing Address 10201 A^nvanda <br />City, State, Zip_ Snohmieh, we. 98290 <br />Owner (Mortgagor) <br />Greg Prentice <br />Rillinn Namp Sam <br />Connection By_ <br />Address_ <br />669-9502 <br />DESCRIPTION: <br />Lot 6 Block 1 <br />Plat North 'ievarty Park _ <br />Unplatted Description <br />Type Permit: NOW cc <br />Remarks: <br />IMPORTANTI <br />CALL 1-80U424-5555 48-HOUF o <br />PRIOR TO DIGGING <br />CALL 259-8811 FOR INSPECTION <br />SEESKEI'CH ATTACHED <br />Utility Account No <br />Permit Fee_ 30_00_ <br />Connection Charue(s) 270.00 <br />Total Fee 30.00 <br />Ordinance 1171-85 <br />Water 261.00 <br />Sever 688.00 949.00 <br />Signed <br />custoimr <br />Sewer District Dona }:1 <br />Monthly Sewer Service Metered <br />Monthly Sewer Constr <br />270.00 <br />Lateral <br />Abutting Lot Line <br />N, S, E, W <br />Approved By <br />A. R. Theal <br />City Engineer <br />E. ftnd <br />Issued By <br />Inspection By -:%:) <br />Date Inspected —�" ' <br />No. 25405 <br />11 <br />INSPECTION <br />