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I <br /> ' ( <br /> CHART NO. — <br /> , � ; <br /> everett � � -'- r <br /> ___ . �,- <br /> a a- --����� �l �� <br /> Clty O� EVQf@tt 30/�•:;190 i�:ll,FN OOOrllK2ib �tt'k <br /> i <br /> � <br /> Sewer Application and Permit �?� =1�.� <br /> �,�, .�o.� y <br /> NO. 2 7 9 8 9 DATE �+�.•V.•.-- "� �to �/��'S <br /> Serv�e Address Utility Axount No. <br /> BilBrq Address <br /> City,Stffie,Zip Permit Fee S •�.�— <br /> r p,�,�� Connection Charge <br /> Connection by Trunk S <br /> Address Lateral S <br /> � Total Conner,tbn Charge S <br /> # p��e Utility Development Fee <br /> Lepal Description: Water S <br /> ' �t sewar a <br /> � g� Total Development Fee 3 <br /> � Plat <br /> 7 <br /> ; <br /> Unplatted Descripdon: Sewer Bond District <br /> Abutting Lot Une <br /> W� g� E�yy tt. <br /> Type o(PermR Approved By — <br /> Remarks Issued By <br /> ;> i , f�� -- <br /> Customerc�,r,s,n�rw X�'•'f,l/',�.C–�Z- �, ' _ �� <br /> a""_._ <br /> IMPORTANT! <br /> CALL 1-800-424-5555 48-HOURS <br /> PRIOR TO DIGGING �� <br /> CALL 259-8810 FOR INSPECTION Inspectbn By <br /> Date Inspected ��'�" �v � <br /> � <br /> SEE SKETCH ATTACHED No. 27989 <br /> INSPECTION <br /> y <br />