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evere" <br />CityIke <br />of E verett <br />._ � � ei w .► iX <br />Sewer Application and N.onitgig <br />'t 25 <br />NO. 25806 DATE �pyy,t , 19B6 <br />Service Address 2306 - 73e0 St S6 <br />Billing Address_ on yox ggy <br />City, State, Zip #M9ra <br />Owner (Mortgagor)_ -1-Pq 1th <br />Billing Name <br />Connection B <br />Add <br />Phone 663 2026 <br />CHART <br />Utilitv Account No. <br />Permit Fee_ i0.00 <br />8 F8 <br />cv.. <br />• M C. <br />Connection Charge(s) NOfl <br />Total Fee 19.99 <br />Signed <br />Cmlomer <br />DESCRIPTION: Sewer District <br />Lot__ Block_ <br />Plat Monthly Sewer Service_ <br />Unplatted Description Monthly Sewer Constr. <br />Type Permit: �ur--=sa" <br />Remarks: <br />Iti'; OR CANTI <br />CALL 14Q4f14V-555548-HOURS <br />PRiOR TO DIGGING <br />CALL 259-88.1 FOR INSPECTION <br />SEE SKETCH ATTACHED <br />Trunk <br />Lateral_ <br />Abutting Lot Line <br />N,S,E,W <br />Approved By <br />CII 'In Ii <br />Issued By _ <br />ue�enrNn " <br />Inspection By 60 <br />Date Inspected r/ �— <br />lvo. 25806 <br />INSPECTION <br />