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CHART NO._ <br />everett <br />W C,�� SF_Nr To CNgCTirlr sleel86 <br />i�t <br />City of Everett 9 <br />2 Fpg8.8 $[g. <br />Sewer Application and Permit , <br />Y <br />NO. 25987 DATE nacm Isr 5i_ <br />Service Address_ 171`19 - 70th PI U Utility Account <br />Billing Address Pn Box 542 <br />City, State,Zip--Lykg-MAVPne YE OR)SR <br />Owner (Mortgagor) th <br />Billing Name Sw <br />Connection By <br />Phone_65y2075 <br />DESCRIPTION: <br />Loth_ Block — <br />Plat <br />—rolhy Pl_ er er <br />Unplatted Description <br />Type Permit: M <br />Remarks: <br />IMPORTANTI <br />CALL 1-80OA24-555548-HOURS <br />PRIOR TO DIGGING <br />CALL 259-8811 FOR INSPECTION <br />SEE SKETCH ATTACHED <br />Permit Fee in on <br />Connection Chargelsl_ 77n_na <br />Total Fee An tin <br />Special Utility Fee Ord. 1171-115 <br />Water 179.00 <br />Sewer 471.09 <br />6 W.00 <br />Sewer District RandIT <br />Monthly Sewer <br />Monthly Sewer Constr. <br />Trunk 27n,nn <br />La <br />Abutting Lot Line <br />N, S. E, W_ ft. <br />Approved By ay Theal <br />Cnpineer <br />Issued By Sue Grannan <br />Inspection Byd` <br />Date I nspected_ Il / Z,3 / <br />ND. 25987 <br />INSPECTION <br />