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CHART N0. <br />everett � <br />Tn rncTING IL'7-�i�- <br />.. �� r_ �: rzi - .a - - <br />City of Everett - �- '- - - <br />e�ewer Application;and: Permit;_„ <br />N�. �� J� � 7 DATE 7anuarv 77 t 9A2 � <br />Service Address nQ�� � uay Utility Account No. <br />BillingAddress �797 Watmero rve <br />City, State, Zip �eett xn na oi Permit Fee $ 30.00 _� <br />Owner n..M� r �...+..w = n�.;"__ Connection Charge <br />Connection by _e _,.� Trunk <br />Address _ Laterai <br />Phone 38II-8302 _ <br />Legal Description: <br />Lot _ <br />B!ock <br />Plat <br />Unplatted Description: <br />Type af Permit �,�;�,�Z071 <br />Remarks __ <br />IMPORTANT! <br />CALL y-800-424-5555 48-HOURS <br />PRIOR TO DIGGING <br />CALL 259-8810 FOft INSPECTION <br />SE� SKETCH ATTACHED <br />Total Connection Charge <br />Ulility Development Fee <br />Water <br />Sewer <br />Total Development Fee <br />Sewer Bond District <br />Abutting Lot Line <br />N, S, E, VJ _ <br />Approved By — <br />I;:sued By <br />Customer Signature <br />+.� � <br />.. <br />.. <br />$ 79.31 <br />$ --,.'�85�39 <br />$ �aaaa <br />n. <br />� S� — <br />Insoection By <br />Date Inspected � �� �5-- <br />lii<;'C�: Tiufl <br />vo. Z8567 <br />�. <br />