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everett <br />e <br />City of Everott <br />Sewer Application and Permit <br />No. �6393 DATE <br />Service Address y � 5 wp f o�n ri r_ <br />, <br />Billing Address ' <br />City, State, Zip <br />Ovmer (Mortgagor) <br />Billing Name <br />Connection BY_s,..1��II � F Ve ve �' �` <br />CHART N0. <br />, 3,.1:- ��� <br />j� ; >" <br />I hnJ� J <br />Utility Account No. 7 S— � C7 �1 <br />Permit Fee _.._ <br />Connection Charge�s) <br />Total Fee <br />Addrou Signed <br />Cuttomer <br />�IOI1Q <br />DESCRIPI'ION: Sewer District <br />Lot Block <br />Plat Monthly Sewer Service <br />Unplatted Description Monthly Sewer Constr. <br />Type Permit: �p p q � � <br />� <br />Remarks: � ' <br />tlo� � k R TQe .a ,,�� r-1 P <br />ne�-�"��'1 ''�., S�o Sa<<,n�1 <br />Ma�L/�' D. � sv �1 �L <br />�-�D. <br />� a y � o j,�.r t�r�� <br />IMPORTANTI <br />CALL 7�800�24-55b548-HOURS <br />PRIOR TO DIGGING <br />CALL 259-8811 FOR INSPECTION <br />SEE SKETCH ATTACHED <br />Laterel <br />Abutting Lot Line <br />' N, S, E, W_ ft. <br />Approved By <br />Ciry EnOineer <br />Issued By� nn N /V) � I �e Y <br />Inspection By d.�i.�— <br />Date Inspected3 - � O — 8� <br />No. 26393 <br />U"fILl71' BILLIfJG <br />