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evei'ett <br />e <br />City of Everett <br />SevNer Application <br />N0. L�O.74 DATE <br />�t�� <br />$Brvice Address '��'� �n 41.�+. <br />Billing Address �1� �vO� ��° <br />City, State, Zip ���• � 98201 <br />pwner (Mortgagor) ��t � ���� <br />Billing Name 8�° <br />Connection <br />CHART <br />$Fii.�: Tc� CHi7,�T.�(,��� <br />����� <br />�..n�� •r <br />A .-� i iJ <br />N a� d y <br />�R <br />;��-�. <br />�. <br />�w��� <br />Utility Account No. <br />Permit Fee � � <br />Connection Chargels) � <br />7-23-8: <br />Total Fee 3�.00 <br />Or3lnand 1171-95e <br />rat�r 22�.00 <br />ew�r 589.00 <br />`i813.00 . ' <br />Si9 � � i/ o,-s� �`-'--> � � �-- <br />ned c,,,�o�„e. ' <br />Pho�e �57-7186 <br />aorthsnd <br />DESCRIPTION: Sewer District — <br />Lot li Block Monthly Sewer Service <br />Plat ��aa Viw �m� <br />Unplatted Description Monthly Sewer Constr. <br />Type Permit: <br />Remarks: <br />IMPORTANT! <br />CALL 7E00-024•555548-HOURS <br />PRIOR TO DIGGING <br />CALL 259�8811 FOR INSPECTION <br />SEE SKETCH ATTACHED <br />Abutting Lot Line <br />N, S, E, W <br />Approved By �'� R• '�L <br />Ciry Enq��eer <br />Issued By M�'e'—�t E 11cTw� <br />Inspection By � �� ��-- <br />Datelnspected 6—����� <br />No. 26054 <br />INSPECf10N <br />