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� � " . . .. . . •:t V�. \. .. . . . . . . .. . ..��. . <br /> ��I� <br /> � � CHART NO. — ______ _ <br /> K�� � <br /> ��� T� P�sT�N� -►-�-== <br /> ��� <br /> � <br /> ��� �Sewer �pplication and Permit <br /> H <br /> �� 2 '�306 DATE .t.�t" t. �9?:� <br /> �y N <br /> p�� --- <br /> ServiceAddress 91y f� Cnnlno ed UtilityAccounWo. � i <br /> 6� BIIIing Address � Fveretc Ave <br /> . . NOpO�>7.'�ii� <br /> . _ � � Clty,Stete, Zlp Everett NA 98201 permit Fee $ 2.5� °�'�FI ti'�.':0 <br /> � �s Owner Ever.tt Schocl lli,_ ric[ ConnectiunCharge :�WEF s:.' � <br /> r n,�it +.t.�n��� <br /> Connedlon by _ Trunk S <br /> Addrese Leteral S <br /> '�' Total Connection Cherpe S <br /> '_' Phone Utllity Devel�pment Fee <br /> '�t Lepal Dea^,riptlon: Water S _ <br /> 1_' Lot Sewer S <br /> Block Totel Development Fee L <br /> 1 j Plat <br /> � Unplened Deacription: Sewer Bond District <br /> 1�� Abuninp Lot Line <br /> � N,S, E,W — R. <br /> � Cao oft <br /> �' Type of Permit _ Approved By <br /> �� Remerks lasued By � <br /> '� Customer Signeture � <br /> �� IMPORTANTI <br /> CALL 1•800•424-5555 48-HOURS <br /> PRIOR TO DIGGING � <br /> / i <br /> CALL 259-881� FOR INSPECTION Inspectlon By L� <br /> Date Inspected � <br /> SEE SKETCH ATTACHED <br /> INSP[CTION . ^ � ^ ��� ' <br />