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everett �- CHART NO. <br /> � <br /> _ Se��- �, p�s�� <br /> - 9�d�q� <br /> CIty of Everett � � J � � � � � �= 'J �' �� " <br /> � � �Y -��. vi ��� o .^. c .= r� c. ; <br /> � l'.l �. ;J !:'. � :� . <br /> L'1 ma » ... �' .:. i' ..+. ...j. ...� .i. cti <br /> Sewer Applicatior� �id P��i� � � .y ,�� <br /> � . -_ <br /> � � � � = _� ti � �� � ��; :; � -- <br /> 20.7 �11 .• .7nne5,� : u ? = � � ". _ ' � <br /> NO. DATE 1991 <br /> Service Address ?il B. t+faanolia Aw Utility Account No. <br /> Billing Address ���o �-��lo tir <br /> City, State, Zip ���t, f�t� 98093 — Permit Fee $ �n_oo <br /> Owner �+�....� _,. i ..- .`� Connection Charge <br /> Connection by .+,or Trunk $ <br /> Address Lateral $ <br /> I <br /> Total Connection Charge $ -o- <br /> Phone _�c� ��60 Utility Development Fee <br /> Legal Description: Water g 22a.o0 <br /> I Lot <br /> Sewer $�gg�? <br /> Block Totai Development Fee $ s13.o0 <br /> Plat <br /> Unplatted Description: Sewer Bond District +�a T - ( eitr�3� <br /> Abutting Lot Line <br /> IN,S� E, W — ft. <br /> TyFe of Fermit �ca muFn,�r,,,, Approved By <br /> � <br /> Remarks Issued By <br /> Customer Signature <br /> IMPORTANT! <br /> CALL 1-800-424-5555 48-HOURS <br /> PRIOR TO DIGGING l _ / _ <br /> %/ <br /> CALL 259-8810 FOR IPJSPECTION Insoection By 'J�' <br /> Date Inspected �� � �� <br /> SEE SKETCH ATTACHED No. 28307 <br /> INS!'ECTION <br />