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CHART N0. i <br /> everett ' <br /> H O H � s <br /> �ir"� �' - � � -� _ :, :�, <br /> � � � City of Everett = ,_; _: , .7 ,_, <br /> Gy � I : - : . - ��, <br /> y �H ' Sewer Application and :P�r_.mit � <br /> � � _ - = :, =� - ,. . <br /> - � _ _ _ - � � <br /> oxo I .; �: .. - �, :-: _ :_' - _. <br /> �'tl y H No. 2 8 3 R 9 DATE t.�r��c 15, 1951 _ <br /> � x <br /> �� Service Address �`����3 712 �r^yr — Utility Account No. - <br /> OH <br /> i-�i [n�7 g Billing Aqdress — L'U8 ?toyt <br /> p� O <br /> 9 y � Ciry, Slate,Zip Lbaretc ua 98201 Permit Fee $ '-'S� i <br /> � <br /> �+ �7 Owner r��*y ✓��e�'��•* Connection Charge <br /> � <br /> o l7 v� Connection by Trunk $— I <br /> ��� ! I <br /> y � Address Lateral $— <br /> HOVi i <br /> � i — Total Connection Charge $ __ <br /> �� i Phone _ Utility Development Fee <br /> , Legal Description: Water $ <br /> � ���► Lot I9 Sewer $ <br /> r.��� <br /> Block l'otal Development Fee p _— <br /> '� Plat <br /> I ��I Unplatted Description: Sewer Bond District <br /> Abutting Lot Line <br /> �.�. _. N,S, E,W ft. <br /> Type of Parmit Cnn off Approved By <br /> � � <br /> �� � Remarks Issued By c5 <br /> Customer Signature—_ � <br /> I���f IMPORTANT! / <br /> .lo �v,Sor�T�� _. <br /> CALL 1-500-424-5555 48-HOURS �v <br /> PRIOR TO DIGGING �/'L <br /> Inspection By_ ��� <br /> CALL 259-8810 FOR INSPECTION <br /> I Date Inspected <br /> I -� n�r No. 28389 <br /> i SEE SKETCH ATTACHED TIh1I; � �� S_Q3 <br /> I ----- <br /> � INS�'ECTION <br /> �- ----- <br />