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everett <br />City of Everett <br />Sewer Application <br />No. 26632 DATE <br />Service Address <br />Billing Address 39e1 O"kh AV*. <br />City, State, Zip <br />Owner (Mortgagor) Willien F111to, <br />Billing Name San. <br />Connection By %mn& <br />Address_ c.e,& <br />Phone zip-1T1n <br />DESCRIPTION: <br />Lot <br />Plat <br />Unplatted Description <br />Type Permit: <br />Remarks: <br />Block <br />IMPORTANT! <br />CHART N <br />Eq--'j'4D C/l r A&; r <br />Q-1 o- 8e <br />r <br />O .t yy- <br />S <br />and Perr" <br />fY 2 <br />w <br />+�' .1^ CO W J <br />April is, ' 19eR <br />CALL 1-000.424-555548-HOURS <br />PRIOR TO DIGGING <br />CALL 259-8811 FOR INSPe CTION <br />SEE SKETCH ATTACHED <br />Utility Account No <br />Permit Fee >UUUM 10_on <br />Connection Charge(s)—_-2t4-en <br />Total Fee mrn tn_nn <br />Signed <br />Customer <br />Sewer District P. A TT <br />Monthly Sewer <br />Monthly Sewer Constr. <br />Trunk 91 0o <br />Lateral <br />Abutting Lot Line <br />N, S, E, W 100.5 ft. <br />Approved 'Dv ALFRED A. THEAL <br />City Engineer <br />Issued By—_�Qy_t+�u;on <br />Inspection By. z <br />Date Inspected 7-2 o - Fi <br />INSPECTION <br />No. 26632 <br />