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uverett <br />City of Everett <br />S��ver Applicat <br />�' <br />s <br />� �L�g�� k�'� �� <br />i: .� �p.r.- T[.�,] ��.i <br />q� d w� f�J r �- <br />(T �.. J w �.M J �J t . <br />V M ♦ M • <br />ior�anc�Pieraa� -� <br />, � � <br />^g �����4���=.'3i� <br />NO. 27939 DATE � 9/17/9u <br />qoB <br />Servfce Address F �n�%rt��. nr <br />BIIIing Addres� -- <br />City, State, Zip .1— <br />�Wne� _ ��rllne llmu� �J Tny� <br />Connection by �� M �„`�" �'- � � s — <br />Address — <br />Phone _ <br />Legal Description: <br />Lot <br />Block � <br />Plat Eararl� alil. piv i2 <br />Utility Accouni No. <br />Permit Fee $ <br />Connecpon Charge <br />Trunk <br />Lateral <br />CHART NO. <br />�o po,4�.' <br />�4-�-y� <br />$ 116. AO <br />g 522.40 <br />Total Connection Charge $ 6�9.20 <br />Utility Development Fee <br />Water <br />Sewer <br />Total Development Fee <br />Unplatted Description: .•a ft�� _ Sower Bond Dlstrict <br />?ype o( Permit <br />Remarks <br />IMPORTANTI <br />CALL 1-800-424-5555 48-HOURS <br />PRIOR TO DIGGING <br />CALL 259-6810 FOR INSPECTION <br />SEE SKETCH AITACHED <br />Abuttinp Lot Line <br />N,S,E,W — <br />Approved By — <br />Issued By — <br />Customer Signature <br />g 261.00 <br />$ Rna ru� <br />y 949.��0 <br />80' <br />.�°�,1� <br />Inspection Ry � <br />Date Inspected �'`�r � "` <br />I�1SP�CTIOI�1 <br />No. 27939 <br />ft. <br />