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evereft <br />� <br />� <br />CHAflT NO <br />TO POSTING / - �� <br />City of Everett s 8 8 c� � 8 8 ti <br />� � o <br />,��—, �IR��x� � ' a�� <br />�ewer Application ar��l�ern�' " � " <br />M <br />� �����m���� ���� <br />N0. 27436 OATE �r lf. 19P! Q� <br />Service Address =� 97tA i!. iE <br />Billing Address 2175 19Bth �1. pi <br />City, State, Zip Llr�n�ooa, M� 9SOJ6 <br />Owner (Mortgagur) �1� �• �K• <br />Billing Name � <br />Connection By � <br />Address � <br />Phone 7T�-33S6 <br />DESCRIPTION: <br />Utility Account No. <br />Permit Fee 70.00 <br />Connection Chargels► »0.00 <br />Total Fee_ 7�.� <br />Otl11t� D�wlop�nt h� OtA, 1171-tS <br />.� r.u: i». uo <br />..wr a�i.00 <br />00 <br />Signed _ <br />mtomer <br />Sewer <br />Lot 6 _ Block <br />Plet Monthly Sewer Service <br />Unplatted Descriptfon Monthly Sewer Constr. <br />Typa Permit: � �_ �,,. <br />Remarks: <br />IMPORTANTI <br />CALL 1-800�24-6666 48-HOURS <br />PRIOR TO DI6GING <br />CALL 269A811 FOR INSPECTION <br />SEE SKETCH ATTACHED <br />Leteral <br />Abut,ing Lot Line <br />N, S, E, W. <br />Approved By 1�.�� L m�a[. <br />ciry enyinee. <br />Issued By �u.r a.ra�s <br />Inspection By�� � <br />i <br />Date l nspected� � � r'd <br />No. 27436 <br />1 iV ;PGCTI ON <br />