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everett <br />e <br />City of Everett <br />Sewer Appl�cation and Permi'r <br />CHART NO. -- <br />Jl�ktt � � �Ur�,n� <br />S��i3-a t <br />No. 27304 DATE _— ���, �a • � �9rn � <br />Service Address �S 714 75th St. SF. Utility Account No. <br />Billing Address 1d29 Arondway _ <br />City, State, Zip Rverett, FtA 9&2U1 <br />Owner (Mortgagor) ��A Aatoc. <br />Billing Name �a'"� <br />Connection By JCD Duild�rs _ <br />Address �"8 <br />Phone ^52-11G6 <br />DESCRIPTION: <br />Lot Block <br />Plat <br />Unplatted Description <br />Permit: <br />Remarks: <br />I IMPORTANT! <br />I CALL 1A00�424�5556 48�HOURS <br />! PRIOfl TO DIGGING <br />I <br />��� CALL 259�8811 FOR INSPECTION <br />SEE SKETCH ATTACHED <br />Permit Fee <br />Connection Chargels) u� <br />Total Fee <br />Utility DeveloFroent f'ee Ord. 1171-AS <br />retor 1720.25 <br />eewer 4545.75 <br />U270.00 <br />Signed _ <br />��ti� f•i.':.�� i�•�'d�tiK�HIN'�'1���. l;i'. <br />Sewer District e d � <br />(lI N)i 1. �..� �l i4 <br />Monthly Sewer Serv�qq , , , <br />���.�� �.��i � ��I ���1�� <br />Monthly Sewer Canitr,_� � �� , ��� <br />t ;Illi �tU.I�I <br />Trunk <br />Lareral +lA'� S •i�•id: <br />::IAAIUt:�I:, •. . <br />Abutting Lot Line i,;��b �..U,nn <br />N, S, E. W uari i��uni_.� ft. <br />Approved By <br />nV npineer <br />Issued By r����yaa�yAn—_ <br />Inspection <br />Date I <br />U <br />.t -, . `i.' -" <br />No. 27304 <br />� <br />