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� CH�RT NO. <br /> � everett <br /> ,_;� c,Pnl �., ��,,/,� U <br /> � ��tl � �—i 5-ti r <br /> x <br /> �� � City of Everett � ? e _' �, `3 � � � � <br /> � �� •� ;-i [� J :Y �'n F: '� ; I <br /> 9H [n A 'm � a ;z -�+ M � <br /> 4� <br /> y � Sewer Application o�! �e�mit _ a <br /> �' y � = C .G "' : cJ �.] .y Oqi{ • • <br /> � �"1 � f�J�]Cc � � ,_'�, � l- a � � � �E j "1 � •�:� <br /> VJM G1 / �7v '� 'ii . '_ :. = � � � � � ,. <br /> � yo. � NO. DATE uY;c T +�n a taon <br /> O �-+ � <br /> N � g Service Address . Utility Account No. <br /> 4� O 30.00 <br /> z N � Billing Address . Permit Fee <br /> t" N City,State, Zip Connection Chargels) ��0.00 _ <br /> q�y Owner (Mortgagor)_r,�,s- �-oug — Tr:al Fee 30.00 <br /> r Otility Development Fee ��rd. 1171-F35 <br /> y y I Billing Name �� — vater 224.00 � <br /> p aever 509.00 I <br /> Connection By � — 813.00 <br /> Address �,- <br /> Signed =� <br /> cusromcr <br /> iPhone 3q7 3775 � <br /> C� DESCRIPTION: Sewer District i <br /> Lot . Block � <br /> Monthly Sewer Service i <br /> Plat r�h+r ritff �,{ Mvor <br /> i `� � <br /> Unplatted Description Monthly Sewer Constr. <br /> , Trunk 270.00 I <br /> I Type PermiC <br /> i �1- — Lateral � <br /> i <br /> Remarks: � <br /> Abutting Lot Line <br /> ' � <br /> N, S, E, W ft. i <br /> ���� II <br /> � <br /> i <br /> �� I - APProved By � I <br /> � _ <br /> IMPORTANT! <br /> Issued By <br /> ' CALI. 7-800-4243555 48-HOURS �i <br /> PRIOR 70 DIGGING <br /> I CALL 259•8811;fOR INSPECTION �� / � I <br /> Inspection By <br /> �/ <br /> Date I nspected � �'2� �� I <br /> SEE SKETCH ATTACHED N�• Z77�J6 I <br /> INSPECTION <br />