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everen <br />e �� <br />..� <br />.� <br />_ <br />City of Everett � � � g g (� � � �, <br />� o r:-i�c:soa <br />�' � :,�tiw�"c�c� <br />M �7 <br />� <br />Sewer Application �,� �e��if <br />� � � �{ � � 3 ^' v � � <br />27831 � �'`�'=-��4�� <br />N0. DATE �sne il. 199e <br />Service Address 9S4 N. sark nr. <br />Billing Address � BOZ u�' <br />City, SWte, Zip �ll��r, ra �oe9 <br />Owner (Mortgagor) <br />Billing Name <br />Conneciion By <br />DESCRIPTION: <br />Lot <br />Plat <br />Block <br />CHART <br />TO POSTING_ �z�c4—��_ <br />Utility Account No._ <br />Permit Fee 30.00 <br />Connection Charge(s) Norih.nd <br />Total Fee 30.00 <br />Signed ' <br />cuscamer <br />Sewer District <br />Monthly Sewer Service <br />Unplatted Description Monthly Sewer Constr. <br />Type Permit: 1Nv <br />Remarks: <br />IMPORTANT! <br />CALL 1-800d24-555548•HOURS <br />PRIOR TO DIGGING <br />CALL 2595811 FOR INSPECTION <br />SEE SKETCH ATTACHED <br />Lateral <br />Abutting Lot Line <br />N, S, E, W <br />Approved By L1►1t1t! C�4RD <br />City Enyinea <br />Issued By J Rociorll <br />Inspection By,� `�_— <br />Date 1 nspected S- Z-9/ <br />No. 27831 <br />I NSPECTI ON <br />