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evereft <br />e <br />City of Everett <br />Sewer Application <br />No. 26697 <br />DATE <br />Service Address <br />Billing Address <br />City, State, Zip <br />Owner (Mortgagor)CoePar— <br />Billing Name 90111110 <br />Connection By custoev- <br />Address_mn—ca <br />Phone 30-5025 <br />CHART <br />Tn POSTING 99z- <br />Utility Account No <br />Permit <br />Connection Charges( wop„y7 <br />Total <br />special utility fte nPE. 1171-BB <br />sever 4(0.20 <br />Signed_ <br />Customer <br />DESCRIPTION: Sewer District <br />Lot Block <br />Monthly Sewer Service_ <br />Plat <br />Unplatted Description Monthly Sewer Constr. <br />Type Permit: <br />Remarks: 7►% AA a, �'ti✓ r.n� U I,i I'l, ) <br />IMPORTANTI <br />CALL 14800-424.5555 48-HOURS <br />PRIOR TO DIGGING <br />CALL 259-8811 FOR INSPECTION <br />SEE SKETCH ATTACHED <br />Trunk M! « <br />Lateral Ibj�� — <br />Abutting Lot Line <br />N, E, <br />Approved By <br />itY npineer <br />Issued By c,.... u_ <br />Inspection By <br />Date Inspected S�L3 I <br />No. 26697 <br />II:_:1 Ciit <br />