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�� � <br /> ��� CHART NO. <br /> � Hfn <br /> ��� I everett <br /> ��� I <br /> bJ M � <br /> � �� I TO POSTING �o Zy � <br /> o H d i City oi Evereri <br /> �`� g li�ation and Permit <br /> � y� , Sewer App <br /> go v�, �� No. 27926 DATE —so,•..—��.-°.-"o°— <br /> � [� Utility Account No. <br /> y o� I gervice Address <br /> 8illing Address <br /> I Permit Fee � zn n <br /> City,State, Zip <br /> Connection Charge <br /> � Owner $ <br /> i Trunk <br /> � Connection by $ <br /> � Lateral <br /> I Address <br /> Total Connection Charge $ I <br /> _ I Phone Utiliry Development Fee <br /> /" Water $ n�i c_�=— � <br /> � C', Legal Uescription: $ . <br /> I Sewer <br /> Lot _ <br /> 1 �—I� Total Development Fee $� <br /> Block — Iq��y;t�a v:�i4 'n I�Cwlfldl�7 §i : . <br /> � Plat FjAkk4cM0 <br /> Sewer Bond District ,; . ...:,.. - <br /> Unplatted Description: �; ,;�Y;�{ �6,°;U <br /> i �� AburiingLolLine „�ay�;vrc,a <br /> ';IbA:I: �:;O.ih) ft. I <br /> N�S, E�W 1-i't1-5 4`_�F1, i'' <br /> � ApprovedBy �anr.�4t` �� I <br /> , ��.► Type of Permit F1�It;r.1' 3195.tiP, <br /> Issued By � � <br /> Remarks �'�'�•��� ''�•�� <br /> �.�,_1 Customer Signature ,, : . . , - ��• ` <br /> � IMPORTANT! <br /> i � <br /> ����� CALL 1-BQO-424-5555 48-HOURS <br /> ppIOR TO DIGGING ��%'� <br /> Inspection 8y �'S� <br /> ICALL 259-8810 FOR INSPECTiON Date Inspected `�-�3 -S� <br /> SEE SKETCH ATTACHED <br /> No. 275�Ei I <br /> INSPFCTION � <br />