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i <br /> � <br /> ���" �. <br /> c <br /> ��� CHART NO. - <br /> � � everett <br /> ��� � : TO POSTING �� � ' <br /> � � _ <br /> � _ �� M a, �. i`, 44 P �.• _; l' <br /> ��g City ot Everett - :; .-. .� ;_ � c: ^ �? <br /> __ � y �; �. <br /> �SH� .: � . '� `� ,� ; <br /> �y Sewer Application and Pe�mit= x _ ; �, � <br /> � - � � = � J, � p�jc ��y <br /> �y~ _ ��K —' �_� �it�. �� G <br /> f��~ � '� ': c � <br /> �� r,o. 28474 DATE _ °`�. ��• 1��� <br /> � 7610 E. Ca�l�ro U�ility Account No. I <br /> �y Service Address <br /> ro <br /> BIIIing Address 9825 3Gth Dr Se I <br /> Eventt Mh 98=08 30.00 I <br /> City,State,Zip Permit Fee $ _ <br /> Owner �'�^b��s°r a ��dal Cou�truction Connection Charge <br /> Own�r Trunk $ 270.00 <br /> Connection by � <br /> Address <br /> Lateral $ �50.00 <br /> Total Connection Charge $ �20.�0 <br /> — i <br /> / Phone _ 337-�A�9 Utiliry Developmenl Fee <br /> I �' Legal DescrlpUon: Water $ _ 179.00 <br /> ILOt 2 ef �On rl�t 1202-]3-90 Sawer $_ 471.00 <br /> { � _ Total Development Fee $ 6�•00 <br /> I C Block <br /> � <br /> Plal <br /> � Sewer Bond Disirict ZI - i <br /> I ,_� Unpletled Description: <br /> ` �i <br /> Abutting LoI Line <br /> N, S, E, W tt• i <br /> � <br /> � I <br /> �'� Type ot Permit Mw aoo�+�ction Approved By_ <br /> I <br /> Remarks Issued By--�ahe■ — � <br /> � �� - -- <br /> � Customer SlgnaWre <br /> I IMPORTANTI I <br /> l �"� CALL 1-800-424-5555 48-HOURS �I <br /> � PRIOR TO DIGGING ' <br /> � , <br /> � Inspection B� / � i <br /> � CALL 259-8810 FOR INSPECTION � 1 1 n � <br /> Date Inspecied — � <br /> SEESKETCHATTACHED No. ZH47�1 �, <br /> nd"��� Ciic,�. <br />