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0 <br />, � r.• ,�;?'1G:t.r'�'.y;, r. ; '. . ;..n . �. . i .J-. ., .i.r , ,-.Y, :T� �. . _ . . , <br />� <br />S�wer Application and Permi� <br />� _ 29566 <br />DATE _ �2'`!;-�3 <br />ServiceAddress 6731 Hevcrly alvd __ <br />Billing Address — <br />Ciry, State, Zip -. - — <br />Owner City of Everett <br />Conr.ection by �hevran (csn) <br />Address <br />Phone <br />Legal Dascdption: <br />Lot <br />Bfock <br />Plat <br />Unplatted Descrfption: <br />Type o( Permit niterntion <br />RBmerks Pnyment made aa part nf Pub11c <br />Horke 5:slda oerrcit inoucd 12-22-93 <br />i�llIPORTANT! <br />CALL 1-800-424-5555 46-FIOURS <br />PRIOR TO DIGGING <br />CALL 259-8810 FOR INSPECTION <br />SEE SKETCH ATTACHED <br />Utility Account No. <br />, T�.. 'J rl\� �rF1J�•..�..1'�4.;�..Yn.'F�^�',1 <br />CHART N0. - <br />TO POSTING z.Za�9� <br />Permit Fee $ -�- <br />Connection Charge <br />Tr�nk $ <br />Lateral $ <br />Total Connection Charge $ _ <br />Utility Development Fee <br />Water $ <br />Sewer $ <br />Total Development Fee $ <br />Sewer Bond Dist�ict <br />Abutting Lot Line <br />N, S, E, W ft. <br />Approved By ` � �t —�— <br />IssuedBy— r'Fl <br />Customor Signature <br />������ <br />OEC 2 81993 <br />Inspectfon By .... ......�..".T... <br />� Division <br />Date Inspected _ <br />INSPECTION <br />�' <br />;:" �9566 <br />