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�� � <br /> H <br /> � y � CHART N0. � <br /> H�� I <br /> everett <br /> � y � � - TO POSTING_%.;/�y_, � <br /> �NH - p �j' c _, _ <br /> � �'� S' ',i�� ri! Cj 17 S�' � 1r � ,.� I <br /> o� e City of Everett " ' ��: � � � � � � I <br /> :I. �' U' K � 1 <br /> � � M <br /> x�g , Sewer ApplicG�tion an� :,Perm�t S - � � <br /> � y�i � _ `` _ _ �" � � � � � �, r � � � �'I,I <br /> H M3 � �s. `-4 �.� Y 1 � CC. O L� <br /> gdw �i NO. Z�4OG DATE `' '° jOq' I <br /> � �sf I Service Address �bC=� Broadvav Uliliry Account No. I <br /> �H�V� � <br /> � dini a+-...ar-+.�— � <br /> Billing Address <br /> I �o��s Permit Fee $ '�'�� � <br /> I City,State,ZiP ---y�"�"�'4 I <br /> � Owner - �••}�-- ConnectionCharge <br /> ' Trunk g 2�e.no — <br /> iI Connection by pgp,pp I <br /> Lateral $ <br /> I Address ---- ' <br /> I _ Total Conneclion Charge $ 7z�'�� I <br /> IPhone _ Utility Development Fee <br /> Water $ t79 �0 <br /> ���� I LegalDescriplion: $ y7l.pri _ <br /> I Lol � Sewer <br /> 1 ' Total Deve�opmant Fee � G50 06 <br /> '�..�' 6�ook � <br /> �.■e <br /> i Plat II <br /> Unplatted Description: <br /> Sewer Bond District <br /> I �s Abuttiny Lot Line <br /> .--- (t. <br /> N,S�E,W ---'— <br /> � � e ol Permit , Approved By I <br /> ...� I Typ �T _ <br /> ' Issued By— . <br /> Remarks — � C �p„� / �, � � <br /> /��� U//� Customer Signature <br /> � '+' � I� , <br /> � �f�(9 <br /> IMPORTANT! • %"- ��y/i z— I <br /> I <br /> ��w� C�1LL1-B00-424-5555 48-HOURS � <br /> ' PRIOR TO DIGGING I <br /> I <br /> Inspection 8y i <br /> CALL 259-8810 FOR WSPECTIOt�! Date Inspected — " � <br /> I <br /> No. 28406 'i <br /> SEE SKETCH ATTACHED , <br /> IhSPECTION ' <br />