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. . ., <br /> . , <br /> . � <br /> _ � - . a - : . _ , . _ . . . . ' �.�.- _ - . . . - � .� . _ ' . � _ .. � : - <br /> CHART NO. <br /> I everett <br /> �e v��' �Ti /�cys'/�r res' <br /> = 7 —��( <br /> City of Everett:.� - - <br /> Sewer Application_��d Perr�ni# � � <br /> _ - - , <br /> NO. `L7�J�H - DATE io%4/�0 � _ � � I <br /> I <br /> 5en�ice Address �5p�aoward ��ve Utility Account No. I <br /> I Billing Address — I <br /> I City, State, Zip ��e}�g��eh '7h 48�98 Permit Fee $ <br /> 39.99 <br /> Owner � Connection Charge <br /> Cunnection by Trunk $ ��g np_ <br /> Address Lateral $ 48U.0<l <br /> Total Connection Cfiarge $ 76s.n� <br /> Phone Utility Deveiopment Fee <br /> Legal Description: Water $ _ 1724.OD <br /> Lot Z1 G 22 <br /> — Sewer $_GSGt..nn <br /> Block 1�' Total Development Fee $ F270•4Q <br /> Plat Pinel�urst <br /> I UnplaBed Description: Sewer Bond District TT I <br /> Abutting Lot Line i <br /> , N, S, E, W _ 80' g, <br /> I Type of Permit Approved By. <br /> Remarks Issued By II <br /> -_„/ i <br /> Customer Signature � <br /> IMPORTANT! <br /> CALL 1-800-424-5555 48-HOURS <br /> � PRIOR TO DIGGING <br /> I CALL 259•8810 FOR INSPECTION Inspection By ���� <br /> Date Inspected 3 �'��'� I <br /> I � <br /> SEE SKETCH ATI'ACHED No. 27958 <br /> I <br /> I <br /> � il��.'.;'S.^I IOi�! � <br />