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ki <br />City of Everett <br />Sewer Application and Permit <br />NO. 26265 DATE July 10, 1927 <br />Service Address_ 1707 — 70#-h ?t 27 <br />Billing Address o o nn: a97 <br />City, State, Zip i�►e Rtevene_ yg- 09758 <br />Owner (Mortgagor) Het„m n satth <br />Billing Name_ Qe� _ <br />Connection <br />Phone GS3-3015 ---- <br />DESCRIPTION: <br />Lots_— Block <br />Plat _ fg1by p1mem- <br />UnplattedDescription--- <br />Type Permit: Nw tbanootlou <br />Remarks: <br />IMPORTANTI <br />CALL 1-800-424-5555 48-HOURS <br />PRIOR TO DIGGING <br />CALL 259-8811 FOR INSPECTION <br />SEE SKETCH ATTACHED <br />CHART NO. <br />54-;,J)b e aI.� 06136 <br />Utility Account No <br />Permit Fee <br />Connection Charge(s) 770 O0 <br />Total Fee 10 00 <br />Special Utility Feo, Ord. 1171-051 <br />rater 179.00 <br />newer 471.00 <br />650.00 <br />Signed <br />Bond <br />Sewer District-----xpmd;z- <br />Monthly Sewer Service <br />Monthly Sewer Constr. <br />Trunk <br />Lateral <br />11 /17/07 yt-AAM 000066141 M1 <br />Abutting Lot Line / <br />N, S, E, WumiiwM fit. <br />MTJ li67. 0 <br />— (1.1y1 145.00 <br />Will fl,-Ma <br />-- " Approved By <br />. npmen'110 M) <br />1401262.65 <br />Issued By fA1DI&I1 HiBUY !tILW10 — <br />1171" $6511.00 <br />A84 <br />tVAJAX) <br />Inspection By <br />Date Inspected <br />li,.`,PLCTIOIJ <br />NO. 2b265 <br />