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i <br /> CHART NO. <br /> eve�aett <br /> � :� Tn �n�Ti��c, �� � <br /> 4 <br /> z orkat �. g �8:� <br /> City ot Everett = Q_ ,, � `: � � �; �c�:�` <br /> � _ � .:� <br /> : � <br /> Sewer Applicat�n anc� F�erm�t <br /> _ <br /> 2ssso ;-� { �� � � 4 ~ ' � "= ` <br /> NO. c DATE ��3%�2 _ <br /> Service Address 5819 A 6 B GlenwoJ Utility Account No. <br /> BIIIingAddress SQ14-A r.ia�,.,.,..a <br /> CIry,State,Zip �roc�u 9B^o7 PennitFee 5 �n_nn <br /> Owner �nnld Cobane Connection Charge <br /> Connectionby hunk $ ]95.00 <br /> Address Lateral $_ a�� 3]O.uO <br /> Totai Connecqon Charge $ 9RITIIH 725.00 <br /> Phone Utilily Developmenl Fee <br /> Legal Description: Water $ �F� n� <br /> Lot � Sewer $ 68F.U0 <br /> Block Tota�DevelopmentFee $ ��0•0� <br /> Plat <br /> Unpiatted Description: Sewer Bond Districl ItI <br /> Abutting Lot Line <br /> N,S,E,W ft• <br /> Type ot Permit ���naouclou Approved By <br /> Remarks Issued By GB <br /> Customer Signature <br /> IMPORTANT! <br /> CALL 1-800-424•5555 46-HOURS <br /> PRIOR TO DIGGING ��� <br /> CALL 259-8810 FOR INSPECTION Inspection By ��G�"� <br /> Date Inspeded �j" -�� <br /> SEESKETCHATTACHED NO. ZHF)5O <br /> INSP[CTIUN <br />