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1 <br /> M y <br /> AU�pC . <br /> N <br /> H���i <br /> �e�Pa CHART NO. - <br /> rn <br /> �z everett <br /> �d <br /> n�$ � _ TO POSTINf _ �' �� `� <br /> $H L Q :1 'i! Ci +. � � 4 <br /> '�H City of Everett ' ' . : _ _ - - - <br /> -, � ,: - ` �; : : <br /> y . . . _ <br /> g�y Sewer Applicatior�`�and P,�r�it - "� <br /> � � ._ _ � _ � � � t �: n �; �= _ _ <br /> � �t J <br /> y J �'Y � � u J T' !4 �t <br /> NO. Z H O O S DATE N��Eez�. ��90 <br /> Servlce Address a1 Utility Account No. <br /> Billing Address <br /> Clty, Slate,Zip __gnr�ilT-M Permit Fee $ �n en <br /> Owner . Connection Charge <br /> Connectlon by Trunk $ . I <br /> Address <br /> Lateral $ °S° °° I <br /> '�' Total Connectlon Cherge $ ��^ ^^ I <br /> 1 ' Phone Ulility Development Fee <br /> '�' Legal Description: Water $ '� Oo — <br /> '_' Lot Sewer $ . <br /> '�' Block — <br /> Total Development Fee $ `s^ ^O <br /> '_' Plal <br /> Unplatled Descriptlon: Sewer Bond District "'' zI <br /> �� Abutting Lot Line <br /> �� N, S,E,W h' <br /> �' Type ol Permit Approved By <br /> �' Remarks Issued By � <br /> '�1 Cusromer Signature <br /> ��� IMPORTANTI <br /> CALL 1-800-424-5555 48-HOURS I <br /> PRIOR TO DIGGING �� G � <br /> Inspection By �j ~ <br /> I CALL 259-8810 FOR INSPECTION ,., ro I <br /> Date Inspected <br /> i <br /> SEE SKETCH AITACHED <br /> No. 28008 I <br /> ;���=��i crior� I <br />