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everett <br />e <br />City of Everstt <br />CHART NO. — <br />TO POSTING 3-�-�s <br />Sewer Qpplication and Permit <br />2561� ��� :�, ��� <br />N0. DATE <br />�207 11-D Gsad 11N <br />Service Address <br />]71! – 10leh 8t Si <br />Billing Addrtss — <br />Ewr�tt, 101 98304 <br />City, State, Zip <br />Owner (Mortgagor) � �'�U=�� ��i1 <br />. Lml�r i MiNl <br />Billing Name <br />O'Oo�uos MA O�l�s Coa�t. L►o. <br />Connection By_. <br />Address 92� � �• ��tt 18=04 <br />asr�oo <br />Utility Aceount No. <br />Perr�it Fee �-� <br />Connection Charge(s) <br />Total <br />�0.00 <br />ap�olal fw�, oeii�anot 1171–f5� <br />Matts �K.OG <br />�wwr !0l.00 <br />1255.00 <br />Signed <br />cusromer <br />DESCRIPTION: Sewer District � � <br />Lot � a� B��k � Monthly Sewer Service <br />Plat _1� +rM n�� r <br />Unplatted Description Monthiy Sewer Constr. <br />Permit: 11w Oo�e�olim <br />Remarks: <br />IMPORTANTI <br />CALL 1�800d245555 48•HOURS <br />PRIOR TO DIGGING <br />CALL 259�8811 FOR INSPECTION <br />SEE SKETCH ATTACHED <br />Lateral <br />Abutting Lot Line <br />N, S, E, W <br />Approved By u�� � �L <br />acv e�w�ne.. <br />Issued Bv �t a � <br />Inspection By� ���'�''�� <br />Date Inspected � �"i� <br />No. 25615 <br />INSPECTION <br />