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W <br />Citv of Everett <br />Sewer Application and Permit <br />No. 26347 <br />Service Address_ <br />Billing Address — <br />City, State, Zip_ <br />Owner )Mortgagor)_ <br />Billing Name _— <br />DATE — <br />306 86th St S8 <br />14405 - 42nd Ave Meat <br />Lynnwood, VA 98037 <br />Ft"rt C. Turner <br />Connection By +&W - - <br />Phone 7As-�S32-- <br />DESCRIPTION: <br />Lot <br />Plat _ <br />Block -- <br />CHART NO —_ <br />.j.""Y _ i29/ge <br />Utility Account No <br />Permit Fee 30.0C <br />Connection Charge(s)____ 725. <br />Total Fee, <br />30 <br />Special Utility Fee, Ord. 1171-851 <br />water 179.00 <br />sewer 471.00 <br />650.00 <br />Signed — <br />Cusiomer <br />Sewer District;; ;__ <br />Monthly Sewer <br />Unplatted Descriptions_j_72._jt_4L tb�>�156 It--- Monthly Sewer Constr. <br />of that_portion_of Lot 2,-Se.ttion 16, Stnmahip T nie <br />Type Perm <br />Remarks: <br />IMPORTANTI <br />CALL 1-800-424-5555 48-HOURS <br />PRIOR TO DIGGING <br />CALL 258-8811 FOR INSPECTION <br />SEE SKETCH ATTACHED <br />Abutting Lot Line <br />N, S, E, W <br />u9nfl/87 9tg7NH OUDA97184 1:33 <br />tYifplBi 6 <br />Approved By ■ <br />[ f t <br />nyineer <br />Issued By <br />E 8k1:H s7S.lq <br />hl 11fl.l�l <br />11 'a7 � <br />Inspection By <br />Date Inspected � yl <br />�)fp NDi6sQ6347 <br />1 <br />CWU" 9.tt• i4.9U <br />INSPECTION <br />