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•:�i;<.�t.`Pt��+�'u�'.T.:' : . . . . <br />everett <br />e <br />City of Everett <br />Sewer Application and Permit <br />CHART <br />,vo. 26373 DATE � <br />Service Address.�p��g�e����� ��. Utility Account No. <br />BillingAddress ����d. �. <br />City, State, Zip_� ���� f��ee� <br />Owner ;Mortgagor►�p��� �� <br />Billing Name_ Q� <br />Connection By ��q��p�M�i� m=�! <br />Address +��R� . _ <br />Phone �����r <br />Permit Fee <br />Connection Charge(s) <br />e <br />Total Fee <br />Specinl t7tilitp pea Ostil. 1171-85 <br />xatnr 199.17 <br />setrer 525.0T <br />724.24 <br />Signed <br />Cusromer <br />DESCRIPTION: Sewer District <br />Lot Block I <br />Plat Monthly Sewer Service <br />Unplatted Description Monthly Sewer Constr. <br />Permit: <br />Remarks: <br />IMPORTANT! <br />CALL '1-800-024•5555 48•HOURS <br />PRIOR TO DIGGING <br />CALL 259�8811 FOR INSPECTION <br />SEE SKETCH ATTACHED <br />Tru <br />Abutting Lot Line <br />N, S, E, W <br />Approved By nrsoan v ��y <br />Ciry Enpineer <br />Issued By s�+.y ttanq� <br />Inspeciion By <br />Date I nspected _(.0 �� <br />I NSP ECTI Of�J <br />rvo. 26373 <br />