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eeerett <br />e <br />City of Everett <br />Sewer Application <br />N� 265HO DATE <br />Service Address �o�;o '+*� ^- �o <br />Billing Address iela n �a+w �107 <br />City, State, Zip�s� t' vs oaina <br />CHART N�._._ <br />` l� C�os�'�-i <br />,_Z�_�, <br />Utility Account No. <br />Permit Fee 3U.00 _ <br />Connection Charge(s) 395.O1� <br />Owner (Mortgagor) r� Total Fee 30. <br />Billing Name e- <br />Connection <br />Phone 547 99�7 <br />DESCRIPTION: <br />Lot Zi Block <br />Plat T+i* ��s <br />Unplatted Description <br />Permit: <br />Remarks: <br />IMPORTANT! <br />CALL 1-800-024-5555 48�HOURS <br />PRIOR TO DIGGING <br />CALL 269-II811 FOR INSPECTION <br />SEE SKETCH ATTACHED <br />Spacial Utility !�� OrG. 1171-OS <br />water 179.00 <br />earer 471.00 � <br />j 650.p0,� , � . ; �: � <br />� <br />Signed <br />customer <br />Sewer District � II= <br />Monthly Sewer Service <br />Monthly Srwer Constr. <br />Lateral 395.00 <br />Abutting Lot Line <br />N, S, E, W. <br />Approved By 71LPFLD R TiiSAL <br />Ci�y EnBineer <br />Issued By Su�v xauqen <br />Inspection By ` <br />Date Inspected �' <br />No. 26580 <br />I i�': ;' i_ C'I I OPJ <br />