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CHART N0. <br /> everett <br /> TO POSTING FEy n �, 100� <br /> City of Everott m��o�R1 je� �'�� �«R <br /> Skll!'k <br /> Sewer Application and Permit �"'°°��j <br /> i���-s <br /> crr� w.00 <br /> No. 2 8 3 4 3 oAr� �s le, 1„� <br /> Service Address ��• *- �slns_a�f - ��--�.�:: Utllity Axount No. <br /> Bllling Addreas <br /> CIty, State, ZIp Pe�mlt Fee S �n nw <br /> Owner Connection Charpe <br /> Connectlon by �.� Trunk S— <br /> Address — Lateral S <br /> Totel Connectbn Cherge S <br /> Phone �6-+t+ _ Utllity Development Fee <br /> Lepal Desc�iption: Water S �+•->> <br /> Lot Sewer E -- <br /> Block Total Development Fee S �•-!-1'- <br /> Plat <br /> Unplatted Description: Sewer Bond Dlstricl <br /> Abutting Lot Llne <br /> N,S, E,W K• <br /> Type o(Permit ar,��n. Approved By <br /> Remarks IasuedBy— * �'� <br /> � — <br /> Cuatomer Sipnature <br /> IMPORTANTI <br /> CALL 1-800-424-5555 48-HOURS <br /> PRIOR TO DIGGING <br /> � <br /> CALL 259-8810 FOR INSPECTION Inspectbn By <br /> Date Inspected <br /> SEE SKETCH ATTACHED No. 28343 <br /> INSPECTION <br />