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everett <br />� <br />City uf Fverett <br />Sevver �1p�al�tai�ion and Perrnit <br />CHA� �. <br />, ;UdT To CHF�',�7J�r/G <br />3--�(o-a7 <br />NO. L`�o�'v DATE �y�.y �0,�986 L— <br />Service Address Utility Account No. <br />Billing Address <br />City, State, Zip <br />Owner (Mortgagor) I <br />Billing Name <br />Connection By <br />Add-ess����M <br />Phone�,� <br />DESCRIPTION: <br />Lot BIocF; <br />Permit <br />Connection Charge(s� 330.00 <br />Total <br />Special Peea, Ordinance 1171-�5 <br />Water 179.00 <br />Sewor 471.00 <br />650.00 <br />Signed <br />Customer <br />Sewer District nond 'irI <br />Monthly Sewer <br />Plat <br />Unplatted Description���.�a Monthly Sewer Constr. <br />Plat ef Rmadw++�Farn,e Nn= � Trunk <br />Type Permit: �w conn�;+ <br />—� Lateral <br />Remarks: <br />IMPURTANT! <br />CALL 1-800�424-555546�HOUR� <br />PRIOR TO DIGG. JG <br />CALL 259-8817 fOR INSPECTION <br />SEE SKETCH ATTACHED <br />Abutting Lot Line <br />N, S, E, bV <br />Approved By ar.prrcn z_ mfrnr. <br />City Engineer <br />. <br />�� <br />i <br />Inspection By��� — <br />Date Inspected_ ���� � <br />,��. 25666 <br />II�:c!'LC I IOIv <br />