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I <br /> CHART NO. I <br /> � � ro i everett <br /> G M <br /> � H <br /> � � _ TO POSTING �/3i�� <br /> � � H City of Everett = : _ _ � <br /> o � � _ , � . '� � <br /> ro Sewer Applicatiori and Permit I <br /> :� <br /> � N ❑ _ -:: = _ _ I <br /> y �c �t..�t ta tqol I� <br /> � Hy NO. Z�2� 7 �" _ DATE <br /> N <br /> � � �' 616 Packa Dr Utilit Account No. <br /> r Service Address y <br /> � � Billing Address —d73�oo I <br /> Ciry, State,Zip � Permit Fee $ lo.00 <br /> Owner , Connection Charge <br /> i <br /> Connection by Trunk $ <br /> IAddress Lateral $ � <br /> iTolai Connection Charge $ <br /> IPhone Utiiity Development Fee <br /> i � � Legal Description: Water $ xRYKSEXBR 1,A27.SE3 <br /> ��„ I Lot Sewer $ a 'fi' �' <br /> 1 Biock Total Development Fee $ 5 1A1.20 � <br /> � � <br /> ��� Plat <br /> I Unplatted Description: — Sewer Bond District <br /> �� <br /> I � ' Abutling Lot Line <br /> �� <br /> N, S, E,W h• <br /> �-��i Type of Permit ALTERATION Approved By <br /> Remarks _�_.,+ - + --^. . ^_+...,.� Issued By <br /> � ' Cuslomer Sic�nature <br /> � <br /> �) 1 IMPORTANT! <br /> ��� CALL1-B00-424-5555 48-HOURS <br /> �� � PRIOR TO DIGGWG �f"' - <br /> Inspection By � ` `Y� ' <br /> CALL 259•8810 FOR INSPECTION , <br /> I Date Inspected ��'z � �S� <br /> � <br /> SEESKETCHATTACHED NO. ZHL17 <br /> INSPECTiON <br /> I � <br />