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everett <br />� <br />Gty ot Everett <br />Sewer Ap�ficatiu►n and Permit <br />NO. 2J3�� DATE _ O°�� iS, 1feS <br />Service Add�nss ��1 ��� �law s•�. <br />Billing AdcJress 1701! 1ltA 11weM N,s. <br />City, itat.�, Zi�.__ ��K�• �• fl1S� <br />Owner!Morigagor) �� �t. lb. Iaa. _ <br />Billing Name <br />Connectior By __ <br />Address_ _ __ <br />Phone u��16 _ <br />DESCNIPTION: <br />Lot �� Block__. _ <br />Plet _ C�! 1� __ <br />Unplatted Description __ <br />Typa Permit: 11w Ceae�elSaw <br />Remarks: <br />IMPORTAIvT! <br />CALL 1AOOd24�5665 48-NOURS <br />PRIOR TO DI�GID!G <br />CALL269�6811 FOR INSPECTION <br />SEESKETCH ATTACHED <br />CHART NO. <br />S-u�tf. >c, <br />C {'�P� ,+-�ilq <br />_1 <br />Utility Account No._ _ <br />Per•;iit Fc�e--- �_�i _ <br />Connection ,:hargclsl__ <br />Tot�l Fee_ W'� __. _. <br />ordin� 1t7I-RS <br />Mabr-19l.Ot: <br />Ow�r-171 00 <br />710.00 <br />�/ L r/ P(�, <br />_ _. : �SO.M .�` <br />. / ' /" <br />Signed _ _ <br />c,�.���, — _—�� <br />Sewer District _ �O� I=I__ <br />Monthly Sewer Service_. s•� __— <br />Monthly Sewer Constr. <br />� _, 930.00 <br />Latera <br />Abutting Lot Line <br />N, S, E, W--- <br />I APProved By i�. R. '=1��1_ <br />Ciq Enpineer <br />I Issued By --E• �-'� <br />InspectionBy�"I� ^� ' <br />_ Datelnspected <br />• � / _ � <br />No. 25303 <br />I'� .. �iii�. <br />