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everetl <br />� <br />City of Everett <br />Sewer Application <br />N� 266OS DATE <br />Service Address 520 75th St SE <br />Billing <br />City, State, Zi <br />� � � <br />� .. .:: <br />�; <br />�- , <br />. �.. <br />and Perrn�t �� _ �� <br />Fi :;�4�� <br />� s a1 � %� <br />Ma�n a z9: i98e <br />Utility Account No. <br />Permit F <br />Connection Chargels) <br />T.T. Fans Total <br />Owner (Mortgagor) <br />Billing Na <br />3iYYY 2.50 <br />2.50 <br />Connection By <br />98926 <br />Address 11910 — 99th 11vs SS Snohowish Signed - <br />, � o,�omer /.�� � <br />Phone 568-5929 ' ` <br />DESCRIPTION: Sewer District <br />Lot 18 Block Z � Monthly Sewer Service._ <br />Plat �°�rly ticros Tract Di� 3 � <br />Unplatted Description I Monthly Sewer Con,tr. <br />I ^--�� Trunk <br />Type Permit: <br />Remarks: <br />o!t <br />IMPORTANTI <br />CALL 1-800-024�5555 48-HOURS <br />PRIOR TO DIGGING <br />CALL 259�8811 FOR INSPECTION <br />SEE SKETCH ATTACHED <br />�atera <br />Abutting Lot Line <br />N, S, E, W <br />Approved By ��D R. TFtEAL <br />Crty Enpinear <br />Issued By ��4�nt A �I'°°a <br />Inspection By <br />Date Inspected <br />I' �`''i,. <br />No. 26605 <br />