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� � <br />H <br />Ay� <br />r <br />H�� <br />'i1H�tl <br />yy� <br />�O <br />OHd <br />��g <br />�� n <br />t�yZ <br />Hy <br />H <br />��� <br />�o� <br />evereit, <br />e <br />City of Everett <br />c� <br />� <br />��gg�� <br />' '��si.�.id <br />�Y IjJ � : <.i e+ (V <br />r .+ <br />Sewer Application nnd �e�mit _ _ = <br />c�� � t��. � •�' <br />v` "�u u�Ulf>t(i�'�_' <br />27063 `s ��i�`W�s <br />NO. DATE g-- <br />Service Address �doa pyq + n+� <br />Billing Address �Q�R s�t* *s � <br />City, State, Zip tinna� i.11o, v,.* 98072 <br />Owner �Mortgagor��ven+ �+�+�t <br />Billing Name - <br />Connection By___� <br />Phone �g�7g95 <br />DESCRIPTION: <br />Loi <br />Plat <br />Unplatted Descr <br />Type Permit: <br />Remarks• <br />Block <br />IMPORTANTI <br />CALL 1�800-024�5555 48-HOURS <br />PRIOR TO DIGGING <br />CALL 259-8811 FOR INSPECTION <br />SEE SKETCH ATTACHED <br />CHART NO. <br />S�i..;:��T..:_- l�CilLi.i'y <br />0 <br />J O C S R C y <br />�^c nir. � <br />r= � � �,� ^� <br />�+ �� � N N� M <br />O � <br />r.nr�:}+ <br />�, I.�' 1~ M1�' 1--I �1 V <br />� 4� V+ a � ~ � <br />Utility Account No. <br />Permit Fee <br />Connection Chargels)�� <br />Total Fee „_ <br />%-Z�-aY <br />Ctility Devolopment Fee Ord. 1171-85 <br />rmtnr 152.00 <br />� sever 400.00 <br />i 552.00. �� � <br />Signed <br />Customer <br />Sewer District Sond II <br />Monthly Sewer <br />Monthly Sewer Constr. <br />Trunk �n_nn <br />Abutting Lot Line <br />N, S, E, W <br />Approved By TF F R_ '!'IfT'AT. I <br />Ciry Engineer i <br />� <br />Issued By S�ny t�atqa^ <br />� � i <br />Inspection B <br />Datelnspected � 9 <br />No. 27063 <br />INSi'�CTfU;' <br />