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. . . '.IJ. . . :. _ ... . ... ^ - . . , .,.� yl. <br /> �i <br /> � � � . ' . . :'S . � . � . � ' ' �/L� . �_ �. _ _ _ � ' . <br /> CHART N0. <br /> � everett ,; ._ ��=, . r�� ' <br /> �I .� = ;� ,� � � � � <br /> � _ � � .; = � , <br /> - � � �� � - - - <br /> City of Everett _ _ - - _. _ ,_ �. a° ..; <br /> �:�, �� - <br /> �ewer A��I��atio��� _aae� Percnit <br /> = - - _ - -- - - - i <br /> ` ' -_ � ` `-' �' � �� <br /> d0. ZH17O DATE _zr�rrei� 1-�. 1b9� ' <br /> Service Ad�ress Utility Account Mo. <br /> I :�� Tvc�-- <br /> Billing Address <br /> City, State, Zip _ - � Permit Fee $ 30 Ob ' <br /> Owner . , „ ,�— Connection Charge � <br /> i ��o nn <br /> j Connection by � � � �x c a., a.�-�N c Trunk $ <br /> IAddress Latoral $ . , <br /> ITotal Connection Charge $ ` , — li <br /> Phone �'�7-7I53 Utility Development Fee � <br /> i ILegal Description: Water $ ?�.�� �II:7 - <br /> il <br /> Lot Sewer $ ----�a�85--- <br /> Block ` Total Development Fee $ ,� ,• I, <br /> Plat � <br /> i <br /> Unplatted Description: Sewer Bond District .--], t� �� � <br /> _ Abutting Lot Line <br /> N S� �� H� i„t m ! fr� ���) ft. <br /> Type of Permit Approved By <br /> Remarks _ Iss�ied By , " ' I <br /> Customer Signature I <br /> IMPORTANT! <br /> CALL 1-800-42d-5,555 48-HOURS I <br /> i PRIOR TO DIGGING �" ', <br /> CAL.L 259-8810 FOR INSPECTION Inspection By .l.—�� I <br /> � �`�-�i , <br /> � Date Inspected <br /> I I <br /> SEE SKETCH ATTACHED NO. 2�i�� , <br /> i <br /> I� I�lSPFGTIO'� <br /> I <br />