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everett <br />e <br />City of Everett <br />Sewer Application and Permit <br />N0. �T��� DATE �.•* 11, �oao <br />Service Address 9Sli EV�tQZlYA NiY <br />Billing Address 3002 ►ht�n+ <br />City, State, Zip 8varett W�. 98201 <br />Owner (Mortgagor) Citv of Ewratt <br />Biiling Name �•� <br />Connection By g4a pal�a= Cet�at- inc- <br />Addf255 P O Bo: 2057 Silwrdale <br />Phone 64� S76 <br />Utility Account No. <br />Permit Fee �o-D0. <br />Connection Charge�s) �r°a� <br />Total Fee �n nn <br />� <br />_ .� <br />.... ._. .-. ... �c`.c !' . , <br />Signed �� � �"'-� <br />Customer <br />DESCRIPTION: Sewer District � flO°d =II <br />Lot Block Monthly Sewer Service <br />Plat <br />Unplatted Description Monthly Sewer Constr. <br />Permit: <br />Remarks: <br />� <br />IMPORTANT! <br />CALL t-BOOd24•5555 48•HOURS <br />PRIOR TO DIGGING <br />CALL 259�8811 FOR INSPECTION <br />SEE SKETCH ATTACHED <br />Trunk ft�27c <br />Abutting Lot Line <br />N, S, E, W �4�. ft. <br />Approved By <br />ity ngineer <br />ii3l�'0/ev ;iI:Q6RN O�fktkh£�3a i,.l; <br />Issued By ` <br />� <br />�WE�t <br />:.li`�Vi .U.CA <br />Inspection By / � � <br />Date I <br />INSPECTlON <br />Na, 27111 <br />