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everen � <br />� <br />City of Everett <br />Sewer Application and Permit <br />N0. Z6C7.C11 DATE uTr 1�7, x9se <br />Service Address <br />Billing Address , <br />City, State, Zip <br />Owner (Mortgagor) <br />Billing Name — <br />Connection By <br />Address <br />Phone <br />DESCRIPTION: <br />Lot Block <br />CHART <br />�,� Cl�. � �s s� <br />Utility Account No. <br />Permit Fee <br />N✓�i �'-'.' J .� <br />Connection Charge�s) 1320.OD <br />Total Fee <br />Special IItilitp !ee Ozd. 1171-QS <br />katar 816.20 <br />aevar 2151.80 <br />2968.G0 <br />Signed � <br />c�:�a�„e. <br />Sewer District�Q <br />Monthly Sewer <br />Plat <br />Unplatted Description Monthly Sewer Constr. <br />Type Permit: <br />Remarks: <br />IMPORTANT! <br />CALL 1-800-024-5555 46-HOURS <br />PRiOR TO DIGGING <br />CALL 259�811 FOR iNSPECTION <br />SEE SKETCli ATTACFtED <br />Trunk 132a�b <br />Lateral r���rr� � ,..Fiig9fh1h`�-:"r� ,,'�: <br />/ <br />Abuxting Lot Line{'i10026f„1 <br />N S, E, W`-;r�n � �iid� Gil _ ft. <br />— �fIYIiI i1'�+O.f.�i <br />11i1-5 �2?Ld3.W <br />Gi£Ct: i42E�3.['A, <br />Approved By nr.Fxae n. .sr. <br />City Enpinett <br />�R��:1��'�i <br />Inspection B�%` <br />Datelnspected 5 �� <br />No. 26651 <br />INSPECTION <br />