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everett <br />e �� <br />� <br />City of Everett � � u � �u-' � � � � <br />.� x��� P r4i F� :�; o�: <br />�� .s. �n �n r,a rt sW- v <br />Sewer Application ��l Perrr�t: � �� V <br />, � � � i � � � � � � j � $ <br />No. 27078 DATE '� ��. 1�9 v <br />Senrice Address <br />Billing Address <br />City, State, Zip <br />Owner (Mortgagor) <br />Billing Name .�--- <br />Connection By <br />Addreu <br />Phone <br />DESCRIPTION: <br />ICHART <br />.Sew'� iz � �s�� � �S - i3—� / <br />Utility Account No. <br />Permit Fee <br />Connection Chargels) ��� ^^ <br />Total Fee '+� � <br />OtilitymflQ Dewloparnt !�a Ord. 1171-85 <br />wat�r 22�.00 <br />aw�s 589.00 <br />./ 813.00 f;� <br />r;!r�� . ..-__.; . Gt ��— <br />Signed '•"' <br />CuftOmer <br />Sewer District v+�*I <br />lot Block Monthly Sewer Service <br />Plat <br />Unplatted Description Monthly Sewer Constr. <br />Type Permit: <br />Remarks: <br />IMPORTANTI <br />CALL 1SOOd24•5555 48-HOURS <br />PRIOR TO DIGGING <br />CALL 259�8R1i FOR INSPECTION <br />SEE SKETCH ATTACHED <br />Trunk ++� -- <br />Lateral �p ap -- <br />Abutting Lot Line <br />N, S, E, W. <br />Approved By �u'�D R. TNEAL _ <br />Ciry Enqineer <br />Issued By S� ��°� - <br />Inspection By �� _ <br />Date I nspected ��- �- �J <br />I�SPECTI:);�' <br />NO. �707� <br />