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everetl <br />� <br />City of Eve�ett <br />;� <br />:, <br />� <br />v <br />Sewe� Application;a <br />27542 '� <br />MO. DA.TF� <br />' �'= � ����-�== <br />;,,�� _ _.,�, � <br />- ;, <br />`;; , - ;r ;; �:�'. <br />r,id�e�mit <br />:�_� v `_ ,�. ;.', "i <br />:A _ _ i�- <_ �i-�''- �a � W � .�.'`rJi : <br />' � � �-' . '� -� �r `� `= <br />...: �.1 i ,.�. � r W i1] �y :� <br />ea�r�f , 29�'� <br />Service Address����_ <br />Billing Address <br />City, State, Zip <br />. � <br />Owner (Mortgagor�_ <br />Billing Name <br />Connection By <br />G.. <br />DESCRIPTION: <br />Lat_y Block <br />P;at ��_ <br />Unplatted Description <br />Type Permit: <br />Remar�:s: <br />IMPORTANT! <br />CALL 1-800-024-5555 48-HOURS <br />PRIOR TG DIGGING <br />CALL 259-8611 FOR INSPECTION <br />SEESKETCH ATTACHED <br />CHART �10 <br />yc� Pos�t�c, <br />��-8-`X� <br />Utility Acccunt No. <br />Permit Fee 38,69 <br />Connection Charge(s)��0 <br />Total Fee �g��_ <br />Dtility Devololanent Fee Crd. 1171-fl5 <br />watcr 179.00 <br />sswer 471.00 <br />650.00 <br />Signed_ <br />Cuslomer <br />Sewer District_.._ �'� �nd I <br />Monthly Sewer <br />Monthly Sewer Constr. <br />Trunk �� <br />Lateral <br />Abutting Lot Line <br />N, S, E, W ft. <br />Approved By <br />c��Y � • <br />Issued By <br />Inspection By -"-�" " <br />Date Inspected � f f `� _ <br />No. 27542 <br />��!��i ��� iQi� <br />