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� F.. , .. . . <br />everett �' <br />� �� <br />� <br />Clty of Everoti � <br />� <br />Sewer App�i <br />� <br />No. 2836� <br />CHART NO. <br />TO POSTI�'G ���ai�� <br />8as��s s ss:.� <br />�l��:�� l3 ��� <br />��tior� �r��° d� � �m it <br />�����m������ <br />DATE �t 19, 1991 <br />ServloeAddress 207 r denc.a_ <br />BIIIirq Address <br />Clty, Stete, Zlp <br />Owner �' <br />Connection by a�m�r � Q C�� `C - W PS %E ✓"v� <br />naa�ea8 <br />Phone ��-os17 <br />Lepel Descrlplion: <br />�� <br />Blodc <br />Plet �=lr �W� '�'��� <br />Unplatled Description: _ _.— <br />Type ol Permit � ��� <br />Remarks <br />IMPORTANTI <br />CALL 1-800-424-5555 48•HOURS <br />PRIOR TO DIGGING <br />CALL 259-8810 FOR INSPECTION <br />SEE SKETCH ATTACHED <br />Utility Axount No. <br />PermN Fee S +n_n <br />Cannection Charge <br />Trunk <br />��a�ei <br />Total Connectlon Charge <br />Ulllity Development Fee <br />Water <br />seWe� <br />Total Dovelopment Fee <br />S <br />a <br />s <br />$ i� eo <br />y 471•00 <br />$ 650.00 <br />Sewer Bond Dlstdct �tis�a�- <br />Abutting Lol Line <br />NSE�W— ft. <br />Approved By <br />Issued By��}}— <br />Customer Slgnature � _ <br />�, <br />Inspedion By ��'�" " ��` <br />Date inspected —_�� � � �- '� <br />IIJ3f'[CTION <br />No. 2$361 <br />�"""r <br />� <br />J <br />