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CHART NO. <br /> everett <br /> City oi Everott oere�9i t:sc�en a�sx :tr: <br /> Sewer Application and Permit <br /> BLDo� <br /> 1'LN (�t <br /> �ai <br /> NO. Z84O3 DATE .�....e z��i..� � � <br /> 'J <br /> C .� ���a) <br /> Servlce Address al �tillty Account No. <br /> Bllling Address � � ��� � �` � <br /> Ciry,Stete, Zip wtefa, ra ���-�:n� Fun,•It Fee S �.� <br /> Owner sa��-- �++ Connec�on Charpe <br /> Connection by Trunk S <br /> Address Lateral i <br /> Totel Cannectbn Charge $ '�' <br /> Phone y��-+. UtilNy Development Fee 30,7l0.90 (a�Absla) <br /> K.S�7.lf ��ltia �na1 <br /> Legal Description: Water S .� +++ .. <br /> Lot Sewer E � <br /> Block Total DevelopmeM Fee S.!�' +•+ M <br /> Plat <br /> Unplatted Description: Sewer Bond DlaMct �D �1 <br /> Abuttinp Lot Line <br /> N,S, E,W R. <br /> Type of Permit r... -..►�.r _ Approved By <br /> Remarks Issued By � ��+�� <br /> Cuatomer Siqnature ` � �!' <br /> IMPORTANT! <br /> CALL 1-800-424-5555 48-HOURS <br /> PRIOR TO DIGGING � . <br /> CALL 2b9-9810 FOR INSPECTION �^$P�bn By <br /> Date Inspected <br /> SEE SKETCH ATTACHED N0. Z84OS <br /> INSPECTION <br />