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everett <br />� <br />City of Everett <br />Sew�r Application and Pe�mit <br />CHART N <br />`--. - - ,-L-. '',,�;, �/z ae <br />I No. 26350 DATE Sectumber 21. F987 � <br />a �, � �-=,�`a-,�— <br />Service Address _ Utility Account No. <br />Billing Address Permit Fee <br />I City, State, Zip ___.. ... �p8�_ Connection Charge�s)� <br />I <br />I Owner (Mortgagor���r� • B Total Fee_3� — <br />', S�l�itY Special Utility Fce Ord. 1171-85 <br />i Billing Name vacer 152.00 <br />� eewer 400.00 <br />� Connection By�;a�_ 552 00 <br />Address Signed <br />Customer <br />' Phone <br />i <br />DESCRIPTION: Sewer District ,Ol�g�•d <br />Lot �-�� Block �d <br />' Plat Monthly Sewer Service <br />—P�a�-eP--I'xetet�! <br />i Unplatted Description Monthly Sewer Constr. <br />i Trunk <br />i Type Permit: <br />' 1 Lateral _ <br />Remarks: <br />IMPORTANT! <br />CALL 1-800-424-555548�HOURS <br />i PRIOR TO DIGGING <br />� CALL 259E617 FOR INSPECTION <br />SEE SKETCH ATTACHED <br />/�lbutting Lot Line <br />N, 5, E, W <br />Approved By �r.c�nn R_ mrrvnr. <br />Ciry �npineer <br />Issued By �usy Hl�ywo <br />Inspection <br />Datelnspe <br />� �': P;'C � i'� � j <br />Na. 26350 <br />tl <br />