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eve�etl <br />e <br />City of Everett <br />� <br />--� <br />c`- ^i <br />- ,� � <br />Sewer Application anc� Perr�t � � � , <br />'� ����.�s <br />NO. Z6O�7 DATE Jaeuarv 27' 14BZ_ <br />Service Address 2807 Virginia <br />BillingAddress p•o• � �ZZZ <br />City, State, Zip ��tt 98203 _ <br />Owner (Mortgagor) Ouitw! Pacitic Salvaae <br />Billing Name S� <br />Co�nection By � <br />Phone 25A-2866 <br />DESCRIPTION: <br />Lot � � � 81ock �SD <br />Plat e 2 <br />Unplatted Description <br />Type Permit: <br />Remarks: <br />IMPORTANT! <br />CALL 1-800-024-5555 A3�HOURS <br />PRIOR TO DIGGING <br />CALL 259-8817 FOR INSPECTION <br />SEE SKETCH ATTACHED <br />Utility Account No. <br />Permit Fee 2.50 <br />Connection Charge�s) <br />Total Fee �� <br />_ _. . �' <br />Signed � ^ <br />cu:tomer <br />Sewer District <br />Monthly Sewer Service <br />Monthly Sewer Constr. <br />Trunk <br />Lateral <br />Abutting Lot Line <br />N, S, E, W ft. <br />Approved By atFReD R "m+f,i <br />City Engineer <br />Issued By Har�rarar x_ Ncr�od <br />Inspection By <br />Date Inspected <br />No. 26UQ-1 <br />li�!':i'f C�il0i�1 <br />