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,�`�,�.n,�, �'t '��.��,' �:� � f z '� 3�!"�X.Nk".`" 'S?�::�r rf � r-:: <br /> -� s , <br /> �S� va � 1'� )>,'.� & <br /> �°'"-^ � � <br /> ` C'�4RT NO. , <br /> .y � <br /> everett �'�n,� jv ��osl�,�� ' <br /> � � � � - ���4� 'j <br /> b <br /> t' H 0 — - _ <br /> � p � � <br /> M iL — ';�.� � O 4 J _ — <br /> K n City of Everett - „ _ ,� - <br /> H � ^� -A � � � �, �� =_ : '. I <br /> o a o ' �� ,.. -. .. �. _ <br /> �q N M :• . .,. ' <br /> � � ~ Sewer Applie�ition__ and Permit � <br /> oH � � a �* `�" � _ = <br /> � <br /> H [�E b � -a'�y S, '� '_ � ''r 'i �' � I% <br /> c� �i `Z�77�j rj,' DATE �, <br /> z y � N0. ' <br /> � „ y Utility Account No. I <br /> O N <br /> R v y Service Address��n • � <br /> � � � . • Permit Fee I <br /> Billing Address c ��o 00 <br /> o y Connection Chargels) <br /> Ciiy,State, Zip , I <br /> Total Fee <br /> pwner (Mortgagor) � <br /> Utility Dcsv�lopment Pee Ozd. 1171-a5 I <br /> Billiny Name — vater 224.00 � <br /> c.�' ser+ez 5&9.00 I <br /> E�13.00 <br /> Connection By�s . I <br /> S1911ed Customcr <br /> Address �,; � <br /> i <br /> Phone - I <br /> Sewer District I <br /> �+�v DESCRIPTION: <br /> � �� Lot Block.----- MonthlySewerService <br /> I ��_ <br /> 1 Plat � Monthly S��uver Constr. <br /> '�� I Unplatted Description. Trunk <br /> � __' I I <br /> Type �ermit: ��u-Caacrsu�°A' Lateral I <br /> � pbutting Lot Line ft I <br /> I �� Remarks: N, S, E, W <br /> - I <br /> i ' ��'� --- <br /> � AppfOVed BY �ly �g��eer <br /> u <br /> ' _� � IMPORTANT! <br /> Issued BY <br /> � CALL 1•800-024-5555 48-HOURS <br /> �� � PRIOR TO DIGGING ` � <br /> �t�� � - /_ <br /> CALL 259-881'1,FOR INSPECTION �� <br /> Inspection By -�� <br /> I <br /> 2 -,L�'`;' <br /> I Date Inspected I <br /> NO. Z77J '''J <br /> SEE SKETCH ATTACH[D <br /> II i�SPECTIQN j <br />