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y H 9--ART NO. <br />K <br />everett <br />TO POSTING--i <br />0 H <br />g City of Everett :. <br />t+ H y Se rver Asp ►I �c tion Wild Permit <br />g�H <br />NO., OATE <br />N' <br />y cn <br />11 <br />Lf <br />rt <br />Lf <br />ri <br />Ll <br />Service Address <br />2oVj F €cch A _ <br />Billing Address ---1.' <br />1 —s (lth 2 AvO Wit' <br />City, State, Zip <br />Lveratt 'A 9CZ <br />etcr Rainckc Ins— <br />UWTter _ _--•..? <br />Connection by <br />r <br />Address <br />Phone <br />3 -- <br />Legal Description: <br />Lot 2 of <br />SP 11- 87 <br />— <br />Block . . <br />Plat <br />Unplattod Description: <br />Typeof Permitx---- <br />Remarks <br />IMPORTANT! <br />CALL 1-600-424-5555 48-HOURS <br />PRIOR TO DIGGING <br />Utility Account No. <br />Permit Fee $ <br />30.00 -� <br />Connection Charge <br />Trunk <br />$ <br />Lateral <br />$ <br />Total Connection Charge <br />$ —0— <br />Utility Development Fee <br />Water <br />$ <br />Sewer <br />$ <br />Total Development Fee <br />$ 813.01) <br />Sewer Fond District <br />Abutting Lot Line <br />Approved Esy <br />Issued 8y <br />Customer Signature <br />1 ._.��...JS�r 11.. .yr"Y./.Yp it ,*"Z �� .xr+wr•. � ...... <br />