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. <br /> �� � <br /> H <br /> >H � ...- <br /> N�3e CHART NO. <br /> K y � everett <br /> �� � <br /> l•I� � f 1 <br /> � � � .i <br /> �� g Cit of Everett - - _ - � �• n rnc N� � /zz/ z <br /> r � _ i�� , ,,_TI, <br /> �,� o - .. _ � �; - <br /> y Sewer Application arid>-Perm4# � <br /> sH �s <br /> C"yy ` �s _ ' _' . 2 'Y ' - � V I I� <br /> �r . � -- ;t, _ <br /> �g� yt� No. 2 8 5 5 0 DATE —�bs_ .��.�r_�;�=-- - <br /> ��' Service Address 1925 n a 8 c]�aetnut St. Utility Accaunt No. <br /> BIIIing Address <br /> Ciry,State,Zip Permit Fee $ ;p,�� <br /> Owner � Connection Charge <br /> Connectlon by Trunk $ — <br /> Address - Lateral S <br /> _ Total Connection Charge $ _�__-- ; <br /> i <br /> Phone Utility Devalopment Fee � <br /> � � Legal Desc9ption: Water $ 161 0o I <br /> ��' Lot � • �,____._ s�_:____R *�t_6 _ Sewer $ , <br /> � ' 81ock Total Development Fee $ 949.00 _ <br /> ��I Plat <br /> '�1 Unplatted Descripticn: -- Sewer Bond District <br /> ��' _ AbuUing Lot Line <br /> '�1 — N,S, E,W ft. <br /> 1 ' TYpe of Permlt _ �mv rrwe�Prrrnra _ Approved By <br /> '�' Remarks Issued By_���e}} <br /> ' ' Custome�Signawre <br /> _--- <br /> �' IMPORTANT! <br /> �.. CALL 1-800•424-5555 48-HOURS <br /> PRIOR TO DIGGING y <br /> ( '�i+���t/^-�'— <br /> CALL 259-8810 FOR INSPECTION �nspection By� <br /> . �. �1 L <br /> �ate Inspected <br /> SEE SKETCH ATTACHED No. 28550 <br /> INSf'LCI�ION <br />