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everetl <br />e <br />City of Everett <br />Sewer <br />�:, <br />j <br />� <br />�s�8 gS�w�B �5 <br />� p � �� O..�. � J � N <br />�.�. �..� � .r :..1 M ' � Q� <br />' e� O v .n .-.� w �ra '�r <br />.. w o w � �� �: <br />Applicatio�..t�nd�ermit:: � , <br />ti �r. J� W .. <br />�` o r^ ��+ :'��+ <br />�J J <br />� �� �6���b����`r <br />N0. Z7SO3 DA�E � �.�luly , m � � : <br />Service Address 6712 Wetmore Ave <br />BillingAddress � A Rox F994 <br />City, State, Zip LVrm►ood W71 98036 <br />Owner (Mortgagor) 1Cen *tcCalliater Const. <br />Billing Name �a� <br />Connection By. <br />Phone 3�8-3E3Q <br />Utility Account <br />CHART NO. <br />��A� � ���'���� �'!5-�/ <br />Permit Fee 30.00 <br />Connection Charge(s) Z�0.00 <br />Total Fee i� 0� <br />Utility Oevelopment ie�a, �rd 1171-85: <br />water 224.00 <br />ee�+er. SA9.00 <br />"—�73: 66 <br />Signed - <br />custorwr <br />DESCRIPTION: Sewer District <br />Lot Block Monthly Sewer Service <br />Plat <br />Unplatted Description rrt '� 4p � ��° �?-A9 Monthly Sewer Constr. <br />Permit: <br />Remarks: <br />New c�nnection <br />IMPORTANT! <br />CALL 1-SOOd24-5555 48•HOURS <br />PRIOR TO DIGGING <br />CALL 259�8811 FOR INSPECTION <br />SEE SKETCH ATTACHED <br />Trunk 27Q•00 <br />Lateral <br />Abutting Lot Line <br />N,S,E,W <br />Approved By <br />Ciry Enpineer <br />Issued By ''�rQatet McLeoci <br />���-- <br />Inspection By <br />Date I nspected �'t ' y- Y" <br />No. 278U3 <br />INSPECTION <br />