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y�� I <br /> A � p� ^ <br /> � y�, CHART NO. <br /> y� � everett <br /> y� � � � ., Zl7 7L <br /> � �� _ = - <br /> TO POSTING �� <br /> o H d City of Everett ; 4 T ,. . .. � <br /> Q� g ': � � ' : � .<� <br /> �y� Sewer Application an�Perr�it�; ` � <br /> ,Y u ��. y T t- ui � ..t - <br /> u �.�- � _- e. 4 `n' '-. � <br /> � y - -- - -- _. _ ' <br /> .., � � ^ ` <br /> gd� NO. ZH64�. DATE � �/13/vt <br /> ��� Service Address gx�`��� 3618 t�rerett .iveUtility Account No. <br /> HOtn <br /> BillingAddress ^' '�'�° —— <br /> Ciry, State, Zip - . . <br /> Permit Fee � �� `��� v <br /> Owner „ � ZncConnection Charge <br /> Connection by Trunk $ <br /> Address Lateral $ <br /> Total Connection Charge $ <br /> Phone Ulility Development Fee <br /> �� � Water � <br /> �. Legal Description: <br /> j ( Lot Sewer $ <br /> 1 ' <br /> �� Block Total Development Fee $ <br /> � ��' Plat <br /> I <br /> Unplaried Description: Sewer Bond District <br /> j ��� <br /> �' AbuttingLotLine <br /> � <br /> N,S, E,W tt� <br /> � � A roved B <br /> �i �� � Type of Permit PP Y <br /> ' Issuud By <br /> Remarks -- - - " <br /> , Customer Signature <br /> � IMPORTANT! —� <br /> �G � <br /> � ��� <br /> `��� CALL 1-800-424-5555 48-HOURS � /� �� . <br /> PRIOR TO DIGGING �/ 7 - S � <br /> Inspection By <br /> CALL 259-8810 FOR INSPECTION <br /> Date Inspected ' <br /> SEE SKETCH ATTACHED NO. 28�41 <br /> INSPECTION <br />