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everen <br />e <br />City of Everett <br />Sewer Application and Permit <br />CHART <br />SFNT ro lH��r�Nc- <br />„�-27-9� <br />NO. l'`�v�� DATE AI��1 �1, �"'�— � <br />Service F�ddress_�3��i ��, .. Utility Account No. <br />Billing Address <br />City, State, Zip <br />Owner (Mortgagor► <br />Billing Name <br />Connection <br />Phone <br />DESCRIPTION: <br />Permit Fee <br />Connection Charge(s) • � <br />Total Fee � �� �i•� <br />Serer AM 1171� 22���.pp <br />PLEaG 5^c0.06 <br />t1kCll 41 a.170 <br />�f:'.U4Y 4�,'0.00 <br />,FkIT k. S60.UG <br />Signed-- , _ ��• . � <br />c w . <br />1171-5 �b2i4.tX1 <br />1�CK &E?].Stl <br />Sewer D <br />Lot�` Block <br />Plat Monthly Sewer Service. <br />Unplatted Description Monthly Sewer Constr. <br />Type Permit: <br />flemarks: <br />IMPORTANT! <br />CALL 7-800-024-5555 48•HOURS <br />PRIOR TO DIGGING <br />CALL 259-8811 POR INSPECTION <br />SEESKETCH ATTACHED <br />Latera <br />Abutting Lot Line <br />N, S, E, W. <br />Approved By <br />i eer <br />Issued By <br />Inspection B � � <br />Date I nspected 3— 1 �� <br />No. 25622 <br />i fVSPECTI ON <br />