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everett <br />e <br />City of [:verett <br />Sewer Application <br />No. 25999 ;;ATE <br />L'� <br />f•; <br />t� <br />� <br />� _ s��, .�"l..� O <br />;-, �� .� ..? .,; <br />_ r a �i � i.� <br />^ jj 4i . <br />and Per�i� � __ <br />� � � � � � <br />.% ._ w. T'� .i�'tt � <br />DOC@RlUar � 74Af, <br />Service Address 3214 - Sfi•..h st �? . <br />Billing Address 160C15 *+�.+�i� ltay <br />City, State, 2ip Motioe iitH 98Z72 <br />Owner (Mortgagor) bbrencv Construction <br />Billing Name si <br />Connection By <br />Phone �oe-enoe <br />CHART N0. <br />�l/�/D i�.t/f'�� <br />Utility Account No. <br />Permit Fee 30.00 <br />Cannection Chargels) ��t <br />Total Fee 30.00 _ <br />SpecSal Otility Fee 1171-85 <br />Saatar 2Z4.00 <br />3ewer 589.00 <br />813.00 <br />;' <br />Signed — <br />Customer <br />,_. ._...._—�----^-�"�- <br />DESCRIPTION: Sewer District Bond IT <br />Lot 15 Block Monthly Sewer Service <br />Plat �+►ilvorth Bills Al <br />Unplatted Description Monthly Sewer Constr. <br />Trunk ���+t <br />Type Permit: Pen connact:on <br />Lateral _ <br />Remarks: <br />IMPORTANT! <br />CALL 1-800-024•5555 a8-HOURS <br />PRIOR TO DIGGING <br />CALL 253-8811 FOR �NSPECTION <br />SEESKETCH ATTACHED <br />Abutting Lot Line <br />N, S, E, W <br />Approved By <br />A1 Theal <br />Ciry Engineer <br />Issued By surt Gran�a.+ <br />Inspection By ���`��� <br />Datelnspected � �` -F� <br />N0. 25��:� <br />INSPECTIO('J <br />