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everett <br />� <br />� <br />{ <br />_ <br />� <br />City of Everett SS � g � :t � <br />IA � �7 07 G] 17 <br />ax �'� .a �. <br />Se`+ver Appl�cation cnd Pe��t <br />� T <br />26608 g ������ <br />N0. DATE <br />Service Address 8u0 aw�rly elaQ. <br />BillingAddress = �1�� �• <br />City, State, 2ip �hul. IfA 98021 <br />Owner (Mortgagor) � ��lti <br />Billing Name E+� <br />Connection Bv �O° <br />S�aa <br />Phone 743-378� <br />DESCRIPTION: <br />CHART <br />O O O� O P <br />..+ <br />� ��� �� <br />M N M ry <br />Nppp��� a� <br />� N � <br />����� �� <br />� <br />'7��s-se <br />Utility Account No. <br />Permit Fee 30.00 <br />Connection Charge�s) 720.00 <br />Total Fee 30.00 _ <br />special Otilitq pea oRA. 1171–BS <br />Ntar 179.00 <br />s�war 471.00 <br />i � 650.00 ,- <br />Signed ` ff �-- J" ; �'' � <br />cu:tomer <br />Sewer District �� u <br />Lot Block <br />Plat Monthly Sewer ,;ervice <br />Unplatted Description Monthly Sewer Constr. <br />Typa Permit: <br />Remarks: <br />IMPORTANT! <br />CALL 1�800-024•5555 48•HOURS <br />PRIOR TO DIGGING <br />CALL 269Ji811 FOR INSPECTION <br />SEE SKETCH ATTACHED <br />Trunk s�e_nn <br />Lateral a5o_cu� <br />Abutting Lot Line <br />N, S, E, W ft. <br />Approved By— �[.rt�e a_ rpsar. <br />City Enpinem <br />Issued By�.o�q..� <br />.-� . ���./a�I�L� <br />� . •. , �Y.� • <br />. <br />� � . � . <br />INSPECTION <br />