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�T, <br /> � r � <br /> t+7 y <br /> y� CHART NO. I <br /> Cy � ' ' <br /> y � H I everett <br /> � y � I <br /> y z r _ _ Tn ��CTING � yo yz �i <br /> oy d �ity of Everett_ _ : <br /> . . <br /> "� g � �ewer Ap�lrcation and Perm�t <br /> zH � I i <br /> yH <br /> t" H H �� -. �-� . `. .. <br /> oyH NO. '�H31.Z DATE i <br /> c� t7m I <br /> �j� � Service Address �sn� r �*� Utiliry Account No. ---- <br /> Z H V� <br /> "� � �' Billing Address ' ^--�'-��–'.`• <br /> Ciry, State,Zip _— , , Permit Fee $ � <br /> Owner aohn �irk , — Connection Cnarge I <br /> Connection by P 1'+navi m � Trunk $ – I <br /> Address „ Lateral $ – <br /> Total Connection Charge $ — <br /> Phone Utility Development Fee <br /> i'.�� LegalDescription: Water $ <br /> �' Lot Sewer $ I <br /> i ' Total Development Fee S ( <br /> I '�_ elock I <br /> �..�� Plat � <br /> t <br /> Unplatted Description: Sewer Bond Dislrict � <br /> ! �"'o Abutting Lot Line I <br /> I �!' <br /> N, S, E,W n' i <br /> A roved B j <br /> Type of Permit �–��' PP Y � � <br /> ��" Issued By T *x+ � �� — I <br /> Remarks <br /> Customer Signature � <br /> "�'� IMPORTANT! I <br /> I' ��► CALL 1-800-424-5555 48-HOURS �o . /'7�"�" I <br /> I ���e� PRIOR TO DIGGING f'�i�- � <br /> � Inspection By �''� I <br /> CALL 259-8810 FOR INSPECTION � <br /> Date Inspected <br /> SEE SKETCH ATTACHED NO. 2�3�l.G � <br /> I <br /> INSPL-CTIOfJ � <br />