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W <br />City of Everett <br />Sewer Application <br />N0, 26030 DATE <br />CHART NO. <br />8 888 88 <br />Service Address 1727 - YOth PI SS Utility Account No <br />Billing Address—P.O. WX 592 <br />City, State, Zip_t.ahe Stevens. WA 98250 <br />Owner (Mortgagor) Holum & ftLth <br />Billing Name_ $eam _ <br />Connection By_ base <br />Phone <br />Permit Fee 30_DO <br />Connection Charge(s)_ 171_00 <br />Total Fee ■km 3D_o0 <br />Special Utility Fees, Ord. 1171-851 <br />sm water 179.00 <br />sewer 471.00 <br />650.00 <br />DESCRIPTION: Sewer District <br />Lot_"— Block <br />Monthly Sewer Service <br />Plat <br />ealbyPlace <br />Unplatted Description Monthly Sewer Constr. <br />Type Permit: m r ranercrfon <br />Remarks: <br />IMPORTANT[ <br />CALL 1A00-424.5555 48-HOURS <br />PRIOR TO DIGGING <br />CALL 259-8811 FOR INSPECTION <br />SEE SKETCH ATTACHED <br />Abutting Lot Line <br />N, S, E, W <br />Approved By Xy- AVn n_ 4HFAT. <br />Ctly Eng nee, <br />Issued By. Margaret, Te_ McjAc'd <br />Inspection By <br />Date Inspected Z ( el g <br />NO. 26030 <br />INSPECTION <br />