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everetl <br />� T <br />City of Everett <br />Sewer <br />0 POSTING � Z-3.� � <br />� � 2 ��e�, <br />.� � rr � w f•� l..' � <br />a � � � � o <br />1 <br />7 «r +. � +. <br />� <br />Application andPei"mit= � <br />�, - ;�� <br />;� a�3��:.`��� <br />(.i r � (:. ' :� � :: 1 <br />N0. 276SZ DATE **--�hV�� _ <br />Service Address.�Q32 `+�'h noe w — <br />Billing Address_. � �so= 7oa -- <br />City, State, 7_ip_ a�+kilr.� un aaa�5 <br />Owner (Mortgagor) select n�R, T � ---- <br />Billing Name <br />Connection By <br />Phone — <br />DESCRIPTION: <br />Lot � Block— <br />Plat <br />Unplatted Description <br />Type Permit: �M ponnectian <br />RPmarks: <br />IMPORTANT! <br />CALL 1-500-424-5555 48-HOURS <br />PRIOR TO DIGGING <br />CALL 259-8877�FOR INSPECTION <br />SEE SKETCH ATTACHED <br />CHART NO <br />Utility Account No. <br />Permit Fee , <br />Connectio� Cil��'��) , <br />Total Fee_�gtq�— <br />Ordinance 1.71-85 <br />yater 224.00 <br />eewar 589.00 <br />£i13.00 <br />$Igf10d Customer � <br />Sewer District ^ *� * <br />Monthly Sewer Service <br />Monthly Sewer Constr. <br />Trunk 110.00 <br />Laterel <br />Abutting Lot Line <br />N, S, E, W <br />Approved By ar.r. urn a__ �v.BL <br />City Engineer <br />Issued By T °n^kt°"'� <br />/ <br />Inspectian Bti.- ���— <br />Date Inspected ��� ''f �° — <br />No. 2ass2 <br />INSP6CTION <br />