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everen <br />Ilke <br />City of Everett <br />Sewer Application and Permit <br />CHART NO. <br />Sent fc (-lbefir y 6-11_l <br />NO. 25510 DATE March 11, 19BG L <br />Service Address_._9i.12• r19th at ste _ Utility Account No, <br />Billing Address_.. 524 - 96t1Lgisz_ <br />City, State, ZipfivArat'j... j 902n4 <br />Owner (Mortgagor) Stevan Dralre <br />Billing Narne _E#,-vn-arake — <br />Connection By crnnt� .•nw p,,... <br />Address 71t tta E.en.et 41a 11 gay, Hv.r.r• <br />Phone >tgi nson <br />DESChIPTION: <br />Lot 91 BlocK ___ <br />Plat—Ht_ylatr Div 5 <br />Unplatted Description_ <br />Type Purmi#: Xiiiv tbnaectio__ <br />Remarks: <br />IMPORTANTI <br />CALL 1-000424-5555 48-HOURS <br />PRIOR TO DIGGING <br />CALL 259-8811 FOR INSPECTION <br />SEE SKETCH ATTACHED <br />Permit Fee 30.00 <br />Cnnnprtion Charge(s) 330.00 <br />Tot.,. Fee 30.00 <br />.rawer Devaiottnant lee, Ordinanoe 1171-05 <br />Water 224.00 <br />Savor $09.00 <br />943.00 <br />Signed <br />• Otntomn — <br />Sev.er District <br />Monthly Sewet Service___ <br />Monthly Sewer Constr. <br />Trunk <br />Abutting Lot Line <br />N, S, E. W <br />Approved By— at-rnrn a scat. <br />City Engmee, <br />Issued By Margaret McLeod <br />Inspection By -.a ` Qom/ <br />Date Inspected `i�ZZti3 No. 25510 <br />INSPECTION <br />