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everett <br />e <br />City of Everett <br />Sewer Applitation <br />N0. 270v2 DATE <br />f <br />� <br />� <br />� `��;k?3��$8 <br />. . <br />� +�+ .-+ Vi � M L'I O <br />r � ..� «..��i <br />O :» •i M u� �R M N <br />ar�d �e'rmit _ �. � � <br />� ���������� <br />��ra�rt 6. 1989 <br />Service Address 2602 �nq�t Lt. <br />Billing Address 2�928 S7lA Aw. ax <br />CitY, Swte, Zip �L►�la, NA 98p72 <br />Owner (Mortgagor) �pt� �t. _ <br />Billing Name � <br />Cocinection By a+w _ <br />Address =�� <br />Phone �a6-9395 <br />DESCRIPTION: <br />Lot a Block <br />Plat <br />CHART NO. <br />S.c ;L� .� ('�Qs� ;:�, 7- 2 (-8 � <br />Utility Account No. <br />Permit Fee �o.00 <br />Connection Charge(s) ��n_nn <br />Total Fee 30_00 <br />Utilitp D��slo�nt Ts� prd. 1171-OS <br />wt.�r 179.00 <br />Mraz 171.00 <br />f -- fi50.00, . % <br />Signed � � ' � <br />cu:,omer <br />Sewer District �d I= <br />Monthly Sewer Service <br />Unplatted Description Monthly Sewer Constr. <br />Permit: <br />Remarks: <br />IMPORTANT! <br />CALL 1�800a124-555548•HOURS <br />PRIOR TO DIGGING <br />CALL 259�11 FOR INSPECTION <br />SEE SKETCH ATTACHED <br />270.00 <br />Latera <br />Abutting Lot Line <br />N, S, E, W, <br />Approved By �� � � <br />Ciry Enqineer <br />Issued By Swy Uang�n <br />Inspection By <br />Date I nspected_T /� ���P <br />N0. 27�62 <br />I NSPECTt Oi�! <br />