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cveren <br />e <br />City of Everott <br />Sewer Application <br />NO. ���`�� DATE <br />Service Address �18 �w p��' <br />�� <br />� <br />g�N$p�{(��*8� <br />M y7p.H �irl4 <br />�('� N M +� M <br />M <br />n�t=���� <br />���m� <br />Billing Address �9� �r� ��+ <br />City, State, Zip Mmt, lO► 98201 <br />Owner (Mortgagor) � ""'�-• <br />Billing Name i <br />Connection By � - <br />Address <br />�10f1B �,§n_9c�n <br />� <br />CHART <br />SP„� ii/ �03��� � '/9 9/ <br />Utility Account No. <br />Permit Fee +e_oe <br />Connection Charge�s) 'fse_ee <br />Total Fee +� �+ <br />Utilltr D��lepwnt [w, Ord. 1171-ss� <br />wur 17s.00 <br />sw�s �71.00 <br />650.00 <br />Signed <br />cu�,omnr <br />DESCRIPTION: Sewer District Be�e iz <br />Lot Block Monthly Sewer Service <br />Plat <br />Unplatted Description Monthly Sewer Constr. <br />Type Permit: It� Wr Ooort.roetloa <br />Remerks <br />IMPORTANTI <br />CALL 1�800d24•6666 48•HOURS <br />PRIOR TO DIGGING <br />CALL 269�8811.�FOR INSPECTION <br />SEE SKETCH ATTACHED <br />Trunk i�e_eu <br />Latera� aSo_oo <br />Abutting Lot Line <br />N, S, E, W. <br />I APProved By La gwvd�° _ <br />ci�v enyn,e.r <br />Issued By �'°�=�� 8 KO�'�Od <br />�� <br />Inspection By — <br />Date I nspected � ��d <br />No. 2775i <br />INSPECTION <br />