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"' CHART NO. <br /> everett <br /> � Ser� ro <br /> ��, arh�y <br /> City of Everett g- 21-L��i <br /> Sewer Application and Permit <br /> No. 25645 DATE <br /> , <br /> Service Address_��� S� Utility Account No. <br /> BillingAddress g��4 139E1��� PermitFee_ � <br /> City,State, Zip ���1 ��..,+ Connection Cha�ge(s) . <br /> Ow�er (Mortgagor��T���r�� Total Fee . <br /> Billing Name Speclal Sewer Fees Ord. 1171-95 <br /> ���e SfR blater 179.00 <br />� Connection By Sere� 471 .00 <br /> ;--- �O.pp <br />; Address Signed ` � � <br /> . Customer - ' � <br />� Phone�� ..++_ <br /> i DESCRIPTION: Sewer District <br />,i Lot�_ Block Monthly Sewer Service <br /> Plat_�� <br /> Unplatted Description _ Monthly Sewer Constr. <br />�I <br /> Trunk <br /> Type Permit: <br /> Lateral <br /> Remarks: <br /> — Abutting Lot Line <br /> N, S, E, W ft. <br /> Approved By <br /> it er <br /> IMPORTANT! <br /> Issued By <br /> CALL 1-800-024-5555 46-HOURS • <br /> PRIOR TO DIGGING <br /> CALL Y.59-8811 FOR INSPECTION � <br /> Inspectian By <br /> Date I nspected �"2-� ' �P <br /> SEE SK[TCH ATTACHED No. 25645 <br /> I NSP ECTI OIV <br />�� _ -_��--- ,�.__- _�-.___.._.. _ . _ � <br />