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.:-�� <br />k <br />R' <br />r <br />everett <br />� � <br />� � ."� A � 1 ' �i <br />City of Everett � `� � _ `�, r _ - �': <br />! - L: r <br />'4 <br />Sewer l�p�licaf�o�_�.�� F�e�mit <br />NO. �79agr � DATE t DaLh--2s. i9sro <br />Service Address 32^' a��*� +^g-S* Utility Account No. <br />Billing Address 391� - ^ h �' <br />Clly, State, Zip �^��� r. ow�no <br />Owner p� J�� <br />Conneciion by �es w eo� <br />Address <br />Phone <br />Legal Description: <br />Lot Z <br />Block � <br />Plat s..rrll n�t�. M� a <br />Unplatted Description: . <br />Type of Permit <br />Remarks <br />IMPORTANT! <br />CALL 1-800-424-5555 48-HOURS <br />PRIOR TO DIGGING <br />CALL 259-8810 FOR INSPECTION <br />SEE SKETCH ATTACHED <br />Permit Fee $ <br />Connection Charge <br />Trunk <br />CHART NO. <br />TO POSTING �-z-9z- <br />Lateral $ ' �� � ^ <br />Total Connection Charge $ 6�9•u' <br />Utility Development Fee <br />Water <br />Sewer <br />Total Development Fee <br />$ 261.00 <br />F�� T=�'7'� <br />Sewer Bond District ��� i <br />Abutting Lot Line <br />N, S, E, W <br />Approved By <br />Issued By <br />, <br />Customer Signature , �`""-`�' � ' �"""� � ' "� <br />Inspection By ��� <br />Date Inspected S" � �� <br />INSPECTION <br />No. 27988 <br />ft. <br />