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everett <br />e <br />City of Everott <br />Sewer Applicotion <br />No. 25731 DATE <br />Service Address �M� �OO�r �� <br />Billing <br />City, State, <br />�Ol – llbth 7►w s= !]O1 <br />Ml]+�1►�r M71 !l00� <br />CHART NO. <br />�� � �� <br />� � ,-� ra <br />A tl Fe <br />N -O C M <br />� � <br />� ����s=� � <br />���������� <br />Utility Account No. <br />Permit <br />�0.00 <br />Connection Charge�s) �- <br />Owner (Mortgagor) <br />Ib�Miao Iwa• Total Fee �'� <br />Billing Name �r <br />Connection <br />Phone L�i11` - <br />ip�e�a1 t�u, p�dla�no� 1171-tS <br />�qz �63.16 <br />wwr 1221.OS <br />liN.21 <br />Signed <br />Customer <br />DESCRIPTION: Sewer District <br />Lot u'u Block ��NIl� llat Monthly Sewer Service <br />Plet <br />Unplatted Description Monthly Sewer Co�str. <br />Type Permit: Nw Oo�a�otlaa <br />Remarks: <br />IMPORTANTI <br />CALI 1SOOd24•5555 48•HOURS <br />PRIOR TO DIGGING <br />CALL 259-6811 FOR INSPECTION <br />SEE SKETCH ATTACHED <br />� <br />Lateral <br />Abutting Lot Line <br />N, S, E, W <br />Approved By 7�� �• '1'I�IL <br />c��v e�e��en <br />Issued By�paT�t E IM:t�ed <br />Inspection By� �b�'/�`y"`— <br />Datelnspected �` ��� <br />Na. 25731 <br />1�!SPECIION <br />