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everen <br />� <br />City of Everett <br />Sewer Application and Permit <br />No. 26636 DATE Anr 7 �e. �9A6 <br />ServiceAddress �no�o , ,e � si - <br />BillingAddress �oia x_ znri. �zn� <br />City, State, Zip c tri ,�an �aina <br />Owner (Mortgagor) r <br />Billing Name�_ <br />Connection By � - - <br />Address ~ � — <br />Phone �^.�i3 <br />DESCRIPTION: <br />Lot�— Block — <br />Plat 'c+++ c u.ra <br />Unplatted Description <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 />SEE SKeTCH ATTACHED <br />���:-�:��-a�� <br />Utility Account No. <br />Permit Fee_� <br />Connection Charge�s) , <br />Total Fee�P <br />special Utility Fee Orn. 1171-IIS <br />aater 179.00 <br />sewor r'71.00 <br />� � 65o.P0 <br />,; <br />Signed � ' ' � <br />Customer <br />Sewer District <br />Monthly Sewer <br />MonthlySewerConstr;_;6B <",=i'�E'ii��il+3�li;U7:" ?IF. <br />i <br />Trunk <br />Laterel t9.li�i , � s43'i.lx) <br />i�LGI i<�t.tY1 <br />Abut[ing Lot Line f' E;'i;li �>.'�1 <br />N, S, E� W!" •avl� "fti.r�il ft. <br />Ilf9J�' 9'�O.IA.I <br />� f1IY)Il';!:.;5, <br />liilil' Yr�lLUll <br />:�ni,i,.:;.� c, <br />.� r:i.� 3'til ��. t <br />Approved By <br />'IGi�ri. inc�*{;,�,;� , i � <br />.I�� i�'_� i„Iili.la) <br />Issued dy—�y-„a.r,'�'44"•''rj <br />Inspection By <br />Date Inspected '�'�`�g - <br />No. 26636 <br />I;;°'-r ; i Oi,� <br />