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everett <br />� ,� <br />� � ✓ �1 :�.' J �J .J .� �' 'R' <br />City of Everett = -< . _ - - _: � _ -; <br />_ . - _ - �-: `, U °r <br />�i ..�.' ^ " .._ � .- . G. <br />. w a <br />Sewer ApplicatiQn and Permit -' ., �, <br />: .�_ .,:.., <br />�- -- - = --_ � <br />. -_zy� <br />27450 ; �_`.�:::� � =_'-- =.���= <br />N0. DATE _two��,e� ^7, ��E9 <br />Service Address . _ -Ays-- <br />Billing Address p o noz 1rR� — <br />City, State, Zip Ffarvaville.. wa 4o27n <br />Owner (Mortgagor) Pete Hoff�+�n <br />Billing Name � <br />Connection By °�P <br />Address S�a <br />Phone �+Sq fJ�7 -- <br />DESCRIPTION: <br />Lot <br />Plat <br />Unplatted Descripti <br />Type Perm;t: <br />Remarks: <br />Block <br />IMPORTANT! <br />CALL 1�800-024�5555 48•HOUflS <br />PRIOR TO DIGGING <br />CALL 259-8811 FOR INSPECTION <br />SEE SKETCH ATTACHED <br />CHART <br />_t_ v ����tr��-. <br />�-y�- �o <br />Utility Account No. <br />Permit Fee�o <br />Connection Charge(s)_ , <br />Total Fee <br />Utility Devcloirmant Fea Ord. 117}�C5 <br />vater �61.00 <br />sewer Gll8.00 <br />949.00 <br />Signed <br />Customer <br />Sewer District <br />Monthly Sewer <br />Monthly Sewer Constr. <br />Trunk <br />Lateral — <br />Abutting Lot Line <br />N,S,E,W <br />Approved By tLFRBC R 7't1EAL <br />City Engineer <br />Issued By Sucy Slauaen <br />Inspection By `l� ` <br />Date l nspected 3� �� <br />No. 2745Q <br />INSPGCIIOPJ <br />