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� �� <br /> D �C <br /> � HN <br /> H �� <br /> � y� CHART NO. <br /> °� � everett I <br /> o�� TO POSTING � �� �d <br /> � e - <br /> � <br /> � <br /> �� � City oi Everefl �`- � � � c & ` � j T <br /> �N� . . � ., � ... _:�:. �; - <br /> g�y Sewer Application,_a�id P�r�nit:_ � <br /> : , 4 - k .. �- <br /> - ;, v, _ � � ' .; <br /> y�� NO. Z H 5 S� DATE ea�ar�r z6, i99i <br /> Service Address — Utility Accaunt No. <br /> Bllling Address a��^ �M�w lfay <br /> Clfy,StetB,Zlp —y�p�,—p� ��+�� Pefmil FBB $ 3f)nn <br /> Owner Connection Charge <br /> Connectlon by �--- Trunk $ <br /> Address Lateral $ I <br /> Total Connection Charge $ I <br /> � ' Phone Utility Devolopment Fee I <br /> ��' Legal Description: Water $ 261.00 <br /> ' 1 LOI o_� a �nr 1 w ln u t[. 1,.« e $eWBf $ —fin�0� <br /> ��� Block 19G Total Development Fee $ p�9 A0 <br /> '�' Plat <br /> ��� Unplatted Description: Sewer Bond District _ -�- <br /> �' Abutting Lot Line <br /> f N,S, E,W ft. <br /> �' Type ol Permil e7RM CONNEci'to`7 Approved By <br /> � <br /> ' Remerks Issued By <br /> �' Customer Signature <br /> ' IMPORTANTI <br /> CALL 1-800-424-5555 48-HOURS ' <br /> PRIOR TO DIGGING �� ! <br /> Inspection By_� ��"`'�" <br /> CALL 259•8810 FOR INSPECTION i <br /> Date Inspected �� ' � �' z ' <br />' � � <br /> SEE SKETCH ATTACHED No. 28551 <br /> INSI'i.Cl I�l;! <br /> I - — � <br />