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�.�. <br /> T <br />� � ' <br /> � <br /> , <br /> .�-,,..<r . <br /> : � <br /> � <br /> � <br /> '�� � CHART NO. <br /> a�� everett <br /> H �� <br /> � � e _= <br /> �� s � � <br /> 1� O <br /> y w City of Everett - - �� <br /> ��� � '. ` Tn �n�TING � <br /> ��g Sewer Applicat6on and P�rmit <br /> c� o � � = �' � -�, <br /> x :_: � `�3 �i <br /> y N0. 2HO�S� DATE 1—� '% 1 <br /> � �� <br /> �u <br /> �y Service Address ��q�� ��/��✓�'��'2C /���Utilily Account No. <br /> � y� Billing Address S��"� �� � <br /> y O y City,State,Zip �.� �' T W,4___9A��j'/� Fermit Fee S n ' <br /> Owner �;.�."' � ' �`1- �Fd�F 1 Connection Charge <br /> Connection by Trunk $ <br /> Address - Lateral $ <br /> Total Conneclion C;harge $ <br /> Phone Utility Deveiopment Fee <br /> Legal Description: Water $ <br /> �� . � Lot }; I�sl "�L n-F-_/c�-� � Sewer $ <br /> �y Total Development Fee $ <br /> � B�o�k <br /> , tin y. <br /> -�� p!at p�n P lnu!��_�U �l <br /> L�1 Unplatted Description: Sewer Bond District <br /> Abutting Lot Line <br /> 'I ��=�, NSEW ft. <br /> I Type oi Permit �,n o Appcoved By <br /> i �� Remarks Issued By � <br /> Customer Signature �� <br /> j � t�� IMPORTANT! <br /> � ��-.,,�<<-�„'_ <br /> a <br /> CALL 1-800-424-5555 48-HOURS �/� � <br /> � PRIOR TO DIGGING <br /> ��� Inspection ey �� � <br /> CALL 259-8810 FOR INSPECTION <br /> Date inspected <br /> a <br /> SEE SKETCH ATTACHEC' N0. ZHOC1�. <br /> INSPECTION I <br />