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y C '�TJ <br />�: :� <br />C�H <br />pHp� <br />y�H <br />�e o <br />H xl <br />� H � <br />(A H <br />H <br />�x <br />HC7 <br />H � O <br />4]Y �] <br />�H� <br />gyy <br />nqq d � <br />zyfn <br />HOp� <br />� <br />� <br />�� <br />�� <br />/r..n:. . ,. . , . <br />everett <br />� •Ti <br />� � � G � <br />City of Everett - _� ,: � .x � <br />. .. <br />Sewer App�ication and P��ri�it_ <br />L! � <br />w, '_' C^ _ _ Y <br />.-� j-! <br />J�'J " <br />[y :x .� — .0 � — <br />r,o. 28054 DATE T)nramhai ��_ �eoo <br />Service Address 11 Madieon St <br />BillingAddress 1302 Hukilteo Alvd <br />Ciry, State, Zip F.+ rart WA esan� __ _ <br />Owner s+ * * vies 6aDrio <br />Connection by <br />Address 11 Fladiecn St Everett 90203 _ <br />Utiliry Account No. <br />CHART �VO. <br />SdH1 � p�, <br />7 � 'g/ <br />� g g �S''. <br />o� �o <br />m �G �G O�+ <br />F 4N <br />C.I M <br />� <br />:, -_ <br />'� 1 '��J J .Y� <br />� % � F- !1J <br />:, — � �'3 <br />Permit Fee $ zn nn <br />Conneclion Charge <br />Trunk <br />Laterat <br />$ " <br />� <br />Total Connection Charge $ nonc <br />Phone �5,a r r�-� — Ulility Development Fee <br />Legal Description: <br />Lot C� ; �i 11='8 <br />Block _ <br />Plat <br />Unplatted Description: <br />Water <br />Sewer <br />Tolal Development Fee <br />Sewer Bond Dislrict — <br />Abutting Lot Line <br />N, S, E, W <br />$ i�o nn <br />$ G71 OQ <br />Type ot Permit ��nv connection Approved By <br />Remarks Issued By 2!arr.nret !!cLead <br />Cuslomer Signature �'� � ' <br />IMPORTANT! � <br />CALL 1-800-424-5555 48-HOURS <br />PRIOR TO DIGGING <br />CALL 259-8610 FOR INSPECTION <br />SEE SKETCH ATfACHED <br />Inspection By -/`�' ""��— <br />Date Inspected 3—� �- �� <br />INSPFCTION <br />No. �805� <br />ft. <br />