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�l9IJ�=c�65?l7�'�' �a'e���` ,�':,5tt','Y`r � �*R �;;,y,_t �._,� . <br /> ' A <br /> �,�� <br /> CHART NO. <br /> everett "- <br /> tj -L� ��s��,y <br /> � > -c� - � � <br /> a <br /> � <br /> City of Everett � 4 c `� � � <br /> ,. <br /> ,� :: :: ;�. ,: r <br /> .P <br /> Sewer A�p�i�t�o� and Permit <br /> X ' a �tsn � :' � � � � <br /> �s �z � . � <br /> N0. �$��� + � DATE� �e�.�=��ri12�1991 <br /> 3y�� ./ Cs.c� c�,� <br /> Service Address 3424/3428 Colbr Avc (or,e bulldin�ility Account No. <br /> BillfngAddress 34"+0 co1b�A�n <br /> Cfry,State,Zip u..t.*r rza oxani __ Permit Fee $ 4� 2.50 <br /> Owner Connection Cha;ge <br /> Connection by Trunk $ <br /> Address Lateral $ <br /> Total Connection Charge $ <br /> Phone 259-0125 Utility Development Fee <br /> Legal Description: Water $ <br /> Lot +_,�,T;�.�� Sewer $ <br /> g��k Total Development Fee $— <br /> Plat <br /> , <br /> Unplatted Description: Sewer Bond District <br /> Abutting Lot Line <br /> N,S, E,W h• <br /> Type of Permit Caa off Approved By <br /> Remarks Issued By � *�^T� <br /> Customer Signature - <br /> IMl�ORTANT! <br /> t;Al.E. 1-800-424-5555 48-HOURS <br /> PRIOR TO DIGGING � <br /> CALL 259-8810 FOR INSPECTION Inspection i3y-� <br /> Datelnspected �r�� <br /> SEE SKETCH ATTACHED N0. 251.44 <br /> INSPECTION <br />