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everen <br />� <br />City of Everett <br />Sewer Application and Permit <br />NO. 2677� DATE s ,rui., � �9ae <br />Service Address_ 4007 Eovt <br />Billing Address 43_E, munlas <br />City, State, Zip_ Oa.k I1t�bo=, Wh 9A277 <br />Owner (Mortgagor) �eaver Develoomant <br />Billing Name same <br />Connection By Bill O'IIrien s sona <br />Address 5307 33rd Avf. W. Everett <br />Phone_ 3,i—z45c <br />DESCRIPTION: of 4 <br />Lot � Sr,���p� Block �� <br />Plat ��� ��1 �. 13t Acid <br />Unplatted Description <br />Type Permit: <br />Remarks: <br />IMPURTANT! <br />CALL t-800-424-5555 48-HOURS <br />PRIOR TO DIGGING <br />CALL 259-8811 FOR INSPECTION <br />SEESKETCH ATTACHED <br />� <br />Utility Account No. <br />Permit Fee 2. <br />Connection Charge� <br />Total Fee �. <br />Signed <br />Cusiomer <br />Sewer District <br />� �, : "� ; (Ki .. . ;f'ti ii0(1ri:t i f,��.": i Y i �. <br />Mon•hly Sewer Service <br />i:lNAi.:11`. ��� <br />Monthly Sewer Con3tr•.�'�f� +3.`.,ii <br />;9�p�u1Li)J:`i. <br />Trunk F �J?CH <br />L' t:f'UI f:?.;,u <br />Lateral Lfi;iii,'t���; <br />L' �;r1:N ) ;.,';(� <br />Abutting Lot Line ��GOIi:L; ; ! <br />N S E W`tbiCl'� :r�.S� ft. <br />C 1�.1:bil._ <br />�.{Y���'. :."'..:�� <br />l.�+•.M. t;`.��j �jn <br />�L�JLf: s::.'.:�� <br />Approved By rI1�1.i' ziti.�xt <br />Ciry ngineer <br />Issued By Suay ltau3oa <br />Inspection <br />Date <br />Ii�E:PGCIIOid <br />rvo. 26775 <br />