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CHART NO. <br /> everett <br /> �, <br /> ::� <br /> � <br /> � TO POSTING-Ti9� <br /> City of Everett � � � <br /> Lt � G <br /> Sewer Applicati�on and Peirrr�i_t. <br /> �/ LL � <br /> � ?' :�l <br /> Np. �$5�1 DATE � ' �~ � <br /> 1 9 9� �y <br /> Service Address }g3� �erberd Utility Accaunt No. — <br /> Billing Address �gg 6raech <br /> City, State, Zip Permit Fee $ <br /> �e.�e <br /> Owner �;�,��f�:� Connection Charge <br /> Connection by _�e.i, Trunk $ <br /> Address Lateral $ <br /> Total Connection Charge $ <br /> Phone .�,�43& Utiiity Development Fee <br /> Legal Description: Water $ <br /> Lot Sewer <br /> $ _ <br /> Block — Total Development Fee $ <br /> Plat _ <br /> Unplatted Description: Sewer Bond District <br /> Abutting Lot Line I <br /> N�S� E, W ft. <br /> Type of Permit �efle�r Approved By � <br /> Remarks Issued By.�,_�.,�� <br /> Customer Signature <br /> IMPORTANT! <br /> CALL 1-800-424-5555 48-HOURS <br /> PRIOR TO DIGGING <br /> / <br /> Inspection By aG'�- <br /> CALL 259-8810 FOR INSPECTION � <br /> Date Inspected % S- f' �- <br /> SEE SK�TGH A7TACHED NO. 2��G� <br /> INSPECTIOIJ <br />