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everett ' <br />e <br />City af Everett <br />Sewer Ap�plication <br />No. 26753 DATE <br />�. <br />� <br />_- ��� <br />�_ �� r <br />4i tY � <br />p.T �� <br />1 T <br />N� � <br />an P�r�it <br />�: � �._ �, <br />; �a��� <br />�r �. us. i9ee <br />Service Address � � `��� - L� � V� <br />Billing Address Sip o� � �• <br />City, State, Zip � <br />Owner (Mortgagor) • �- �.+. <br />Billing Name <br />CHART NO. <br />J�,�r � «"� - J <br />Utility Account No. <br />Permit Fee '+^.00 <br />Connection Charge(s1_ �oo� <br />Total Fee zo_oe <br />Ordinanc� 1171-85i <br />s�Mrr only �00.00 <br />Connection By p,a -- — �• <br />Address_ Signed � / .. � �� /-' _ <br />cu:romer' <br />Phone �33 �9i1 <br />DESCRIPTION: Sewer District <br />Lot _ Block <br />Nionthly Se•Ner Service <br />Plat — <br />Unplatted Description Monthly Sewer Constr. <br />Type Permit: <br />Remarks: <br />IMPORTANTI <br />CALL 1-800-024�5555 a0•lIOURS <br />PRIOR TO DIGGING <br />CALL 259�8817 FOR INSPECTION <br />SEESKETCH ATTACHED <br />Latera <br />Abutting Lot Line <br />N, S, E, W_ <br />"�i /B-9B <br />Approved By !U.lRED F.• 7[�11 � <br />Ciry Engineer <br />Issued By r�araarat F. McL�od <br />Inspection By� <br />Datelnspected �/ �� <br />ItVSPECTION <br />No. 26753 <br />