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everen <br />e <br />City of Everett <br />Sewer Application <br />No. 27346 DATE <br />�_. <br />� <br />z8���� <br />C�- N 4 Y. � � <br />0 <br />r� ��J � ~ w* N <br />Qr� ��r�� J� x <br />P � <br />�j' ��1 �� � �c`"�' � � � <br />b -zw �"�- :K�Ji•_ �_ <br />� �1 <br />~ Oeinber 5� ]OR4 <br />Service Address �l0 a.H.C, Rocic�fell�z <br />Billing Address p•o. HOz 708 <br />City, State, Zip �iltao, wl► 98275 <br />Owner (Mortgagor) �dy �+zk <br />Billing Name S� <br />Connection By �1�ct Nanas <br />Saw <br />Phone_ 827-II1% <br />CHART <br />'.3 �wY� l <br />� <br />4 � O Q � <br />- L� �: .'S -. <br />a�d'a..�l'� :?r o4 <br />w .- m M L� <br />.a <br />� `�' <br />�������cy� ��:,I <br />�4`idmc`�a��$m+� <br />lltility Account No._ <br />Permit Fee 30.00 <br />Connectio, Charge�s) WOA� <br />Total Fee 30.00 <br />Utility D�v, rea Ozd. 1171-BS <br />xatar 193.3� <br />sawr 509.67 <br />703.00 <br />Signed_ <br />cu:comer <br />DESCRIPTION: Sewer District p��y �� <br />lot �'f-�a Block 633 Monthly Sewer Service <br />Plat �t�tt Di�. A <br />Unplatted Description Monthly Sewer Constr. <br />Type Permit: <br />Remarks: <br />IMPORTANT! <br />CALL 1-800-024-5555 48•HOURS <br />PRIOR TO DIGGING <br />CALL 259-6811 FOR INSPECTION <br />SEESKETCH ATTACHED <br />Trunk <br />Lateral <br />Abutting Lot Line <br />N, S, E, W ft. <br />Approved By <br />�ry ngmeer <br />Issued By sWT�M4e� <br />Inspection By � _- � <br />Date lnspected 3� �Z y " <br />No. 27346 <br />I (�!�Pf-'CTI ON <br />