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everen <br />e <br />City of Everett <br />� <br />� <br />� sas�ss <br />� oo- r^ � vi <br />.i ..�n.n.+� <br />�Q W M M <br />M M <br />CHART NO. <br />�y„�"L�aC��.t+,7.fi«y `-i�3/96 <br />ssQ� <br />:fc��v�o�'', <br />.. °.� .� <br />Sewer Application and �,�mit � _ � � s„ _� " <br />� �������������� <br />NO. 26ZO6 DATE <br />Service Address 702f Tw st <br />Billing Address a� <br />City, State, Zip aw=�tt 111► 9820] <br />Owner (Mortgagor) M A. ��* <br />Billing Name ■ ^-'""* <br />Connection By � �+"""���" — <br />Address 17L 100th Pl iY i tr.ntt <br />�IOI18 i17—L10S _ <br />Utility Account <br />Permit Fee �o � - <br />Connection Charge(s) '+7e o0 <br />Total Fee �o � <br />ip�alal Utillt7 tN Ot. aM• 1171-BS <br />yat�r 224.00 <br />��r SB9.00 <br />� au.00 % � <br />Signed : ��/'�� , ' ' r � � "�� <br />Customer <br />l.: , <br />DESCR�PTION: Sewer District �oc.] ** <br />Lot 6 Block Monthly Sewer Service <br />Plat '--.�� e�.�. <br />Unpletted Description Monthly Sewer Constr. <br />Type Permit: <br />Remarks: <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 2Zp OC <br />Lateral <br />Abutting Lot Line <br />N, S, E, W <br />Approved By_ <br />cuv �ymeer <br />Issued By <br />���A,..-.. ... <br />,� . , <br />�. • �• ••. %1�%/.L�i ,�� <br />� <br />. � • <br />If�� �PLC'TION <br />