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everen <br />e <br />City of Everett <br />CHART NO. <br />1-A­ `fin Chr✓�i: � I z-16-89 <br />Sewer Application and Permit <br />NO. 26626 DATE _ April is, 1998— <br />Service Address1307m__ _ Utility Account <br />Billing Address 770" <br />City, State, Zip <br />Owner (Mortgagor) &I-ahald ANAL Son <br />Billing Name <br />Connection Bv_ <br />AddresL <br />Phone__ 353-6327 <br />Permit <br />Connection Charge(s) 609 00 <br />Total F <br />Special Utility the Ord. 1171-85 <br />water 179.00 <br />newer 471.00 <br />650.00 <br />Signed <br />C Vf lo"r <br />DESCRIPTION: Sewer District �tl Iva 11'4dll 0ljjDWn'u tttt <br />Lot__ Block / <br />Plat _ Monthly Sewer Servo 64" <br />SLT R 6 AJO <br />Unplatted Description _ Monthly Sewer Conte 1 6�M.00 <br />1171-5 f650.00 <br />KWAl5 Type Permit: Trunk tie.ee <br />t3amecticn WATER t650.f10 <br />Remarks: <br />Lateral IM A)014'71If <br />6. A6 <br />PLN <br />$511.50 <br />Abutting Lot Line Pl-rA <br />645.00 <br />N, S, E, Wf1ELit <br />159.50 ft. <br />E Skt:'H <br />615.00 <br />1~1 <br />".B0 <br />01111' <br />425M.50 <br />Approved By -9NB3rtT <br />f, n <br />IMPORTANTI <br />CALL 1-000.424-555548-HOURS Issued By 6uey--fiaegee <br />PRIOR TO DIGGING <br />CALL 259Z811 FOR INSPECTION <br />Inspection By.�u' <br />Date Inspected /d• 3 - F�P- <br />SEE SKETCH ATTACHED N0, 26626 <br />INSPECTION <br />