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I <br /> i <br /> i <br /> I <br /> everett CHART N0. <br /> TO POSTING �� �4 4 <br /> City of Everett <br /> iu;io��� N:iFnn ix�!�ncw�� rrr.� <br /> Sewer Application and Permit �,.�� <br /> � ��.� <br /> CIEq; ♦dI.OD <br /> NO. Z S 4 G I. DATE �+.+<<.+�.� in,��� <br /> Service Address Z31� O�d�s ft Utiliry Account No. <br /> Bflling Addresa - <br /> Clty, State,ZIp i+���t. MA q�+g� Permlt Fee $ ,n n� <br /> Owner Connectlon Charge <br /> Connection by __� ��K �•���_ Trunk $_ <br /> ' Address Lateral $ <br /> ���, � 9�=OY Total Connectlon Charge S <br /> Phone �y�.,�. Utility Development Fee <br />�' Legal Deacdption: Water a <br /> Lot Sewer E <br /> Blodc Total Development Fee S <br />�' <br /> f Plat <br />� Unplatled Descriptlon: Sewer Bond DlsMct — <br />, <br />�v Abuttinp Lot Une <br />�"' N, S, E,W ft. <br /> i.. <br />: <br />' Type of Permit m ao�erron . Approved By <br /> Remarks Issued By J �.11 <br /> CustomerSigneture— -- <br /> IMPORTANTI <br /> Cl1LL 1-800-424-5555 48-HOURS <br /> PRIOR TO DIGGING � <br /> Inspection By �OC�` p <br /> CALL 259-8810 FOR INSPECTION <br /> Date Inspected �O ' 3 � ' �� <br /> SEE SKETCH ATTACHED No. 2$461 <br /> INSPECTION <br /> LLi.s. <br />