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i <br /> i <br /> i <br /> � <br /> CNART N0. <br /> IevereR <br /> , � Sl��i-{� � �����,,y �-IS 9� <br /> j <br /> I <br /> City of Everett <br /> Sewer Application and Permit <br /> N0. LvHv� DATE <br /> Service Address ���Q »�h� Qt. Sr Utility Account No. <br /> Biyling Address »�+o +s•� � �r Permit Fee , <br /> City,State, Zip g��y�, M q8355 Connection Chargels) . <br /> Owner (Mortgagor).�m�rrv. Total Fee <br /> Billing Name � Otillty Dev. Pae O�d. 1171-�35 <br /> aater 3908.30 <br /> � 1OJ03.70 <br /> i Connection By Q--- <br /> 14312.00 <br /> �I Address - Signed <br /> Cuttomer <br /> IPhone <br /> DESCRIPTION: Sewer District e�� I=I <br /> Lot Block <br /> Monthly Sewer Service_ <br /> Plat <br /> Unplatted Description Monthly Sewer Constr. <br /> Trunk 595.00 <br /> Type Permit: <br /> Lateral <br /> Remarks: <br /> Abutting Lot �ine <br /> N, S, E, W taLat ft. <br /> - Approved By <br /> �� <br /> I IMPORTANT! <br /> Issued By <br /> I CALL t�800d24�555548�H0UflS <br /> PHIOR TO D�GGING <br /> i _ _ <br /> j CALL 259A811 FOR INSPECTION �� -j <br /> Inspection B � '� � � <br /> Date Inspected � - <br /> SEE SKETCH ATTACHED N0. ZSHs4 <br /> I f:"P I_C-f i i',J <br />