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everen <br />e <br />City of Everott <br />Sewer AppliCation and Permit <br />No. 2531� DATE �= 2�� 19lS <br />Service Address �1B 106tA ll�w 8.i. <br />�+�nw •.t. <br />Billing Address <br />City, State, Zip �t��' �• 9e1S5 <br />Owner (Mortgagor) �� �'�tnal.i�a It�• <br />Billing <br />Connectiun <br />]63-0]16 <br />DESCRIPTION: <br />Lot � 81ock_. <br />Plet C�d�r L� <br />Unplatted nescription __ <br />Typa Permit: � �y� <br />Remarks: <br />IMPORTANTI <br />CALL 1AOOd24�656648�F10URS <br />rRIOR TO DIdGING <br />CALL 259AB11 FOR INSPECTION <br />SEE SKETCH ATTACHED <br />CHART <br />se.� t +� <br />C-HGr)inq <br />.J <br />e/;���C � <br />Utility Account No._ _ <br />Permit Fee �'� <br />Connection Ct,arge�sl_ ��'� ,__ <br />Total Fee__ �'� ______ _____ <br />Oedinaaor 117-85 <br />�hbr 179.00 <br />1lwiwr 171.00 <br />650.00 <br />Signed <br />r.�nmi�er <br />Sewer <br />Monthly Sewer Service 6.90 <br />Monthly Sewer ConsU. <br />770.06 <br />Lateral <br />Abutting Lot Line <br />N, S, E, W. <br />Approved By_ A. R. Shrl <br />CitV Enp�new <br />Issued Bv 6' �°a <br />ft. <br />1 � <br />/�< � <br />Inspection By _ <br />Date Inspected��c� S�� _ <br />No. 25310 <br />ir��r,��t_c�i ic��: <br />