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everen <br />� <br />� <br />� <br />City ot Everott 8 8 8 8 E3 8 8 8� <br />� , � <br />��� �� � <br />� ��. M <br />Sewer Application�a d;Perrr�it`� � � � <br />" ������m������ <br />� <br />Na, 2T445 DATE�' o�c.wbc u,,leao <br />Service Addreu �17 97th 9t. ii Utility Account <br />Billing Address =uS 1f�ItA pl �M <br />City, St:ie, 2ip � � 9�0�6 <br />Owner (Mortgagor) �1i ���1°° <br />Billing Name � <br />Co�nection By � �� — <br />Address �� <br />Phone �i4'"a <br />CHART <br />TO POSTING -« �� <br />Permit Fee +o � <br />Connection Chergelsl_�ip,^^ <br />Total Fee +^-� <br />� <br />Otl1ltt D��lape�nt lw OrA. 1171-BS <br />wter 17l.00 <br />' ��wt 1� <br />0.00 <br />Signed ,�i <br />cwromer <br />DESCRIPTION: Sewer District �--� iii - <br />Lot � B��k Monthly Sewer Service <br />Plet <br />Unpletted Description _ Monthly Sewer Co�str. <br />Remerka: <br />IMPORTANTI <br />CALL 1-800d24b66648-FtOURS <br />PRIOH TO DIGGING <br />CALL 269A811 FOR INSPECTION <br />SEE SKETCH ATTACHED <br />Trunk up pp <br />Lateral <br />Abutting Lo. Line <br />N, S, E, W <br />Approved By w� �' �' <br />c�ry enoina.r <br />Issued By_ g� �°�� <br />Inspection B�� �— <br />Datelnspected_ <br />No. 27445 <br />INSP[CTION <br />