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everen <br />e <br />City of Everett <br />Sew�r �pplication and PerRnit <br />NO. Zv�O� DATE _yr� 19. 39i7 <br />Service Address � 100= M• MukilL�o elvd. <br />Billing Address Z� 1�6Lh pl. i1� <br />City, State, Zip taanwod. Y11 98037 <br />Owner (Mortgagor►—�rs ! a �m'• <br />Billing Name �ra <br />Connection By 8w <br />Address da� <br />Phone_ 715-970� <br />DESCRIPTION: <br />Lot 1 Block <br />Utility Account No._ � <br />Permit Fee ie_ne <br />Connection Charge(s) n0 00 <br />Total Fee so_m <br />l�cial Otilit� � Ord. 1171—l5 <br />ML�t iii1.00 <br />..r.r {71.00 <br />650.00 <br />Signed % <br />cusromer '- <br />Sewer District ��u <br />Ptat � MA�1�s fLt Monthly Sewer Service <br />Unplatted Description Monthly Sewer Constr. <br />Typa Perrnit: <br />CALL 1$00�124-5555 48•HOURS <br />PRIOR TO DIGGING <br />SEE SKETCH ATTACHED <br />Trunk ���•� <br />Lateral u0•� <br />Abutting Loi Line <br />N,S,E,W <br />Approved By �D �• �� <br />ci�v enaineer <br />ISSUCd By '4�f ��v <br />Inspectio� By �+�"'�� <br />Datelnspected �� �' �� <br />� <br />No. 26203 <br />INSPECTION <br />