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everett <br />e <br />City of Everett <br />_ _ I CHART N0. _ <br />Sewer �pplication and Permit <br />N0. 256ZO DATE �1 21, 1lsi � <br />Service Address �� -�� �� Utility Account No._ <br />Billing Address_ <br />City, State, Zip_ <br />Owner (Mortgagor) <br />Billing Name <br />Connection Bv- <br />100] Ipodi� <br />En�s�tt. 1e► lY207 <br />11 OmsLzvattm O�. <br />aa� <br />Sa� <br />Phone ��� 4�y� <br />DESCRIPTION: <br />Lot 21 Block <br />Permit <br />Connection Charge(s) <br />30.00 <br />Total Fee 30.00 <br />Sp�a�+1 !wr C!dl��ea 1to. 1171-e6 <br />11ab�r 179.00 <br />Signed__ • �, � / <br />cu:tomer <br />Sewer District �md II <br />Plat r�y,�b �� 11 �� PAonthly Sewer Service_ rrs <br />Unplatted Descripcion Monthly Sewer Constr. <br />Type Permit: <br />Remarks: <br />IMPORTANT! <br />CALL 1�800�424-5555 48•HOURS <br />PRIOR TO DIGGING <br />CALL 259-8811 FOR INSPECTION <br />SEE SKETCH ATTACHED <br />Trunk ye� <br />Lateral qq <br />Abutting Lot Line <br />N, S, E, W, <br />Approved By AL�R4D R i'E01d1I. <br />City Enpineer <br />Issued By x�='Y�t L lteL�od <br />Inspection By � bs �e�irM� <br />Datelnspected �' 3'�� <br />No. 25620 <br />INSPECTIG�V <br />