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everen <br />e <br />City of Everett <br />Sewer Application <br />NO. �vGQa DATE <br />CHAqT <br />�' `� � ` �/S,s�° <br />� -,1 t � c � c,�_.�� •��, <br />s� <br />ca w <br />�� <br />w <br />SoZB—vo��e Si- <br />ServiceAddress--'�!S-m..r st <br />Billing Address a... <br />City, State, Zip E�..�.tit vi mana <br />Owner (Mortgagor►�y ��,. <br />Billing Name s.� <br />Connection By e�,,,..� �,� <br />Utility Account No. <br />Permit Fee 30.J0 <br />Connection Charge(s) <br />Total Fee 30.00 <br />srectai ocuscy r.. oca, u�l-es <br />valat 224.00 <br />Address_jy���tit ��� ��� Si ned <br />9 <br />Phone '+ca..s.cnn c�srome. , <br />DESCRIPTION: Sewer District_ soad ii <br />Lot u Block <br />Plat� - �-• <br />�,�.pdL Monthly Sewer Service <br />Unplatted Description Monthly Sewer Constr. <br />Typa Permit: <br />Remarks: <br />IMPORTANTI <br />CALL 1�800�42q.555548•HOURS <br />PRIOR TO DIGGING <br />CALL259�811FORINSPECTION <br />SEE SKETCH ATTACHED <br />Lateral <br />Abutting Lot Line <br />N, S, E, W <br />Approved By itvan n ��r <br />c�cv e�y���e, �— <br />Issued By an..�n„�� <br />, <br />Inspection By <br />Date tnspectMl__ // �.3 - i� <br />INSPECTIOv <br />NO. 262I19 <br />