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� � � <br /> o � x <br /> C H <br /> HZM <br /> '�y � CHART NO. _--- <br /> �� ?� cvcrett ' <br /> y � � <br /> � X e � <br /> � <br /> ��� <br /> � g City ot Everett TO POSTING ����'/5`L- ; <br /> �H � i <br /> gyH S�wer Application and Permit � <br /> n�y ; <br /> ��� NO. 2 7 9?1 DATE �p��A��gqe <br /> IueMce Address , --- Utility Account No. II <br /> Billing Address . ._–�--- � <br /> Clty,Stete,Zlp �iatt� Y71 98I04 Permit Fee $ �n nn � <br /> Owne� �-- Connection Charge � <br /> i <br /> ConnecNon by _ Trunk $� +�� �^ ! <br /> Address La�eral $ <br /> Tolal Connection Charge $ 2-�e�-ao � <br /> f�, Phone _ Utility Development Fee <br /> i <br /> ��' Legal Description: Water S �71 �� i <br /> '�, Lot Sewer S . II <br /> � ' Block Total Developm�3nt Fee $ }}��-g� <br /> � <br /> '�' Plat _ I <br /> ' ' Unplatled DescrlpUon: Sewer Bond District ��;;i�;. ---- <br /> � Abutting Lot Line II <br /> '�' N, S,E,�N �—_— n, � <br /> � i <br /> �' Type of Permit Approved By � <br /> �' Remarks Issued By <br /> � <br /> _ Customer Signalure — i <br /> ; IMPORTANT! 'I <br /> � CALL 1-800-424-5555 48-HOURS , , <br /> PRIOR TO DIGGING <br /> ��� <br /> CALL 259-$810 FOR INSPECTION Inspec�ion By�`'��5��— i <br /> � Datelnspeded � — ; <br /> � <br /> I SEE SKETCH ATTACHED No. �7921 i <br /> � <br /> i <br /> i � <br /> I <br />