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evereft <br />e <br />City of Everott <br />Sewer Application n.±a oc�mit <br />No. 253��9 DATE �`�r 1�. lfes <br />no iacn riao�. e.s. <br />Ssrvice Address <br />Billing Address 1701i 1StL llwnr tl,t. <br />h�tl1�� 11�, f91SS <br />City, State, Zip <br />Owner (Mortgagor► �� ����� �' <br />lat�� <br />Bil�irg Name <br />Connection By _ ,__ <br />��-oiu <br />DESCRIPTION: <br />Lot s __ Block <br />Plat _ � j+� <br />Unplatted Doscription <br />Type Permit: 1Mv Ooosinptieo <br />Remarks: <br />IMpOaTANTI <br />CALL 1�800d24�b65648-HOURS <br />PRIOR TO DIGGING <br />CALL260�8811 FON INSPECTION <br />SEESKETCH ATTACHED <br />� CHAFT N0. <br />t�u <br />SFi✓.— To Cs!9tTi. �_ <br />Utility Account No. <br />Permit Fee ���� <br />Connection Charge�sl___ ��'� <br />70.01! <br />Total Fee _ _ _ <br />OeNie�aoa 1171-es <br />N�t�r 179.00 <br />9�wr 471.00 <br />650.00 <br />Signed <br />r nlome� -- <br />�eee sn <br />Sewer District._._ _ <br />MonthlySewerService___._ 6.50 <br />_ Monthly Sewer Constr. <br />— Tn�nk �70.OQ <br />Lateral <br />Abutting Lot Line <br />N, S, E, W, <br />_ft. <br />k. R. lh��l <br />Approved By_ <br />c�iv Enpineer -- <br />!. �aed <br />Issued By_ _ <br />Inspection By�.'- �'�: � � � <br />Date Inspected �' '/'�/ '- <br />rvo. 25309 <br />I-'� f'�rl- �I11•.:. <br />