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everett <br />e <br />city ot Everott <br />�ewer <br />4; <br />� <br />� <br />Applicatio�n, <br />s <br />No. 274 d 3 DATE <br />Sarvice Addreu__ 224 s7i st ee <br />Billing Address �ISS 1 w.+ d <br />888 8 88$[�$�j <br />4�� � ��xQ� <br />r� � ,� a °� .�`. <br />� " it " <br />�, <br />��� � ������ <br />City, Stete, Zip_ Lrwe..M+a p��� <br />Jwner 1Mortgapor) <br />Billinp Name �... <br />Connectfon By_ s... <br />Address �... <br />Phone�t»ea <br />DESCRIPTION: <br />Lot- � Block <br />CHART <br />Utility Account No. <br />TO POSTING -1 -� <br />Permit Fee �O.YO <br />Connectian Charge�s) <br />Total Fee <br />tltil!!y p��l��t t�e ord, 1171-BS <br />wtar ]79.00 <br />��wr 4 00 <br />0.00 ..; <br />Signed - � <br />cwtome, <br />Sewer District <br />F;et Monthly Sewer Service <br />Unplatted Description Monthly SeN�er Constr. <br />Typa permit• <br />Remarks: <br />IMPORTANTI <br />CALL 1�800�424�666648•HOURS <br />PRIOR TO DIOOING <br />CALL 269A811 FOR INSPECTION <br />SEE SKETCH ATTACHED <br />Trunk <br />Lateral • <br />Abutting Lot Line <br />N, S, E, W_ ft. <br />Approved By <br />c��v • <br />Issued By <br />Inspection By � <br />Datelnspected�7/��� <br />ruo. 27443 <br />INSPECTIOi. <br />