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W <br />City of Everett <br />Sewer Application and Permit <br />CHART NO. <br />NO. 26192 DATE ___ May 5, 1987 ___ L- <br />Service Address 1731 - 70th Pl 5F. _ Utility Account No. <br />Billing <br />P.O. Dos 592 <br />City, State, Zip Lake Stev4na, NA 90250 <br />Owner (Mortgagor) <br />Billing Name_ <br />Connection Bv— <br />Nelun i Smith <br />6&0 O 3/29/6e <br />Permit Fee_ 30.00 <br />Connection Charge(s) 270.00 <br />Total Fee an_w <br />Same Special Utility Fee, Ord. 1171-85: <br />water 179.00 <br />Bower 471.00 <br />- 650.00 <br />Signed <br />-Cuaomer <br />Phone 653-2025 <br />DESCRIPTION: <br />Lot 1n Block <br />Plat Galby P}age <br />Unplatted Description <br />Type Permit: New Connection <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 />Sewer District_ <br />Bond II <br />Monthly Sewer <br />Monthly Sewer Constr. <br />Trunk <br />05/06!0'i 71u"l W01115133 2t# <br />N00018077 <br />Abutting Lot <br />LineE-DO <br />$362-90 <br />N, S, <br />E, WFl.OG <br />$45.00 �t <br />fffll <br />62B.50 <br />L, `" <br />1111.50 <br />E SkY71 <br />$15.00 <br />I111V41' <br />$20.00 <br />Approved By <br />>1Ll�1`R. THRAL <br />gmeer . <br />01) 11 <br />4i 10.O11 <br />Issued Bye <br />EI6�sd <br />�41 <br />141111 <br />i.e0.110 <br />t11.11 <br />I1 <br />Inspection By <br />Date I nsnected G <br />INSPECTION <br />No. 26192 <br />