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everett <br />� � <br />e � � <br />� � <br />� <br />City of Everett � � <br />J � <br />� � <br />.H <br />Sewer Application and Permit � , <br />� � <br />NO. ZVZ 1 9 DATE ,.., _ e,� ,e.� � <br />Service Address 9oe ua s� sc <br />Billing Address p o mY sss <br />City, State, Zip � ���. v� 'ffi��t <br />Awner (Mortgagorl u.l� c ��w <br />Billing Name r <br />Connection By s� <br />Address �•• <br />Phone 657–Z025 <br />DESCRIPTION: <br />Lot_u Block <br />Plat *�+*�� <br />Unplatted Description <br />Type Permit: <br />Remarks: <br />IMPORTANT! <br />CAL L 1 �800-024-5555 48•HOUHS <br />PRIOR TO DIGGING <br />CALL 259-8871 FOR INSPECTION <br />SEE SKETCH ATTACHED <br />CHART N0. <br />5.�.✓: 7a f!/�92riaG �i <br />,�,�,8��� <br />������ � ��� � <br />o� rs --� trip ' p a. :ri <br />M�..� .a f•J i� N� ��t c.i <br />�O � r u�i a� �n Cn w: <br />�w c! w w <br />P .y <br />� ^:7[� <br />���������� ���J <br />�G � G� 11� T.�.� 7��•-'�i • W <br />Utility Account No. <br />Permit Fee �+n_n�� <br />Connection Charge(s) 600.00 <br />Total Fee 30.00 <br />Spaci�l OLiltly !re Osd 1171–BS <br />�etez 261.00 <br />Mr�s 688.00 <br />949.00 <br />Signed_ _—. <br />c�:�o�� <br />Sewer District �� _ <br />Monthly Sewer Service <br />Monthly Sewer Constr. <br />Trunk 110.00 <br />Laterel 490.00 <br />Abutting Lot Line <br />N, g, E, Vy_ ft. <br />Approved By �� -- <br />n e <br />Issued By <br />Inspection By�`� <br />Date Inspected �� ���f� <br />�o. zs27s <br />IP!�YECTIUN <br />