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everett <br />e <br />City of Everett <br />Sewer Application and Permit <br />CHART <br />N0. ZsJ20 DATE _�n�e�t,.r �, 1097 L <br />Service Address_ �as� - »� .. ..- — _ Utility Account No. <br />Billing Address— �zom - �o«ti K , <br />City, SWte, 2ip_ n..L►rlf xZ qpm� <br />Owner (Mortgagor) eme... e�„■c � r <br />BiUing Name c.� <br />Connection By_ s... <br />Phone— �m �nea <br />DESCRIPTION: <br />Lot— o� Block <br />Plat — eiirar Ldc� �rr�o� <br />Unplatted Descr <br />Typa Permit: <br />Remarks: <br />IMPORTANTI <br />CALL 1A00-024•555548-HOURS <br />PRIOR TO DIGGING <br />CALL 269�8811 FOR INSPECTION <br />SEE SKETCH AT�ICHED <br />� f'OSTING �' �-� `� � <br />Permit Fee_ +n eD <br />Connection Chargels) 330.00 <br />Total Fee_ +o ee <br />epsci�l Otility 1�, <br />M\t�! 22�.00 <br />�mwr 569.00 <br />813.00 <br />ord. 1171-85r <br />Signed <br />cuitomer <br />Sewer District �°d =1z <br />Monthly Sewer Service <br />Monthly Sewer Constr. <br />Lateral <br />Abutting Lot Line <br />N, S, E, W <br />ii����tr; ;o�"�ro, �;aaai4a it.r <br />uix�» as�u <br />��_CNi S5,'i4.[b <br />Approved By a�wyr. n ,� �� <br />iF��ilEnpineer,�Qi�.`.�) <br />11.N CN ►7d.lki <br />Issued By ��.�y��* ,,,�* • •- <br />E `'�}�f,Fl �1�.110 <br />IM . �.�;� v2U.[p <br />dOIH` ."4;` <br />� -R . I) <br />Inspection By� , <br />� I t <br />Date lnspected �r _ <br />,,. �; ,f�,�320 <br />�Nt.cc NO�;i <br />IPJSPGC i ION <br />