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CHI�tHi� <br />H Z <br />K � <br />OdHM <br />Vool H <br />OH <br />P,M8 <br />yam- <br />t H <br />8 V) <br />ts1t+ <br />HO <br />�On <br />ever^tt <br />City of Everett <br />Sewer Application and Permit <br />NO. 26218 DATE ___ Jmro IL1987 <br />Service Address Ana AAth-gt_:i.L'- <br />Billing Address__t Sam ------ <br />City, State, Zip -Zmw=t - WA --- <br />Owner (Mortgagor) -Davis <br />Billing Nt�me �-- <br />Connection By <br />Phone ace-laal_ — <br />CHART NO. --- <br />Utility Account No. <br />Se'A+- +{a PoZ-t,A,7 <br />Y-/CD -4I <br />TO POSTING (0/24/4( <br />Permit Fee 't en <br />Connection Chargs(s) ns nn <br />'Dotal Fee anon —. <br />Special Utility flee, Ord. 1171-83: <br />rater 224.00 <br />serer 589.00 <br />RAI <br />Signed 613.00 ` ( •I ) <br />Culromer <br />DESCRIPTION: Sewer District__ --Bond 111 <br />Lot Block Monthly Sewer Service <br />Plat <br />Unplatted Description s-- -•tM ed ----• Monthly Sewer Consti <br />Type Permit: raw r=. *ctLc t —__- <br />Remarks: <br />IMPORTANTI <br />CALL 1.800424-5555 48-HOURS <br />PRIOR TO DIGGING <br />CALL 259S811 FOR INSPECTION <br />SEE SKETCH ATTACHED <br />Lateral <br />It <br />Abutting lot Line <br />(0.I:h 42019.58 <br />N, S, E. W_ <br />Approved By i4h(W:E(( dUs}4lflllrlkh)1N'5547 1111 <br />Cay Eogmeer <br />11(ll)l )& M <br />Issued By ., -MM "- 4725.00 <br />25 00 <br />(f D 1l I 47�5. W <br />1171-5 4813.0) <br />IRX9AY 442 <br />IA)TLk "001. <br />Inspection By_11Bu <br />111b s".ti_ <br />45' .SO /e, I� <br />Date Inspected 11 <br />Ira tAt / <br />` '"218 <br />1. W;H t15.U0 <br />INSPECTION Li9t;' 1211,(p <br />n 11111' ]tnu I <br />wan,r! <br />1 <br />