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CHART N0. <br /> everett � <br /> � SONT- � ��01��HLr <br /> � � -Z 8�'� � <br /> � <br /> t � � � g <br /> City of Everett $ �A Q �{ <br /> ewer u �� I�ation and Permit <br /> S � � � � � � <br /> NO. � �4 ' ^ DATE rtov.absr 'r 1990 <br /> Service Address Utility Account No. <br /> B(Iling Address , . <br /> City, State,Zip Permit Fee $ �0,^�+ <br /> Owner Connection Charge <br /> Connection by ��w� Trunk $ <br /> Address Lateral $ <br /> Total Connection Charge $ - <br /> Phone Utility Development Fee <br /> Legal Description: Water $ —�0�- <br /> �� sewer � � •� �� <br /> B�k Total Development Fee $ GSO ^^ <br /> Plat ��^^�� <br /> Unplatted Description: Sewer Bond District �h'*d - <br /> Abutting Lot Line <br /> N�S� E,W tt. <br /> Type of Permit APProved By — <br /> Remarks Issued By <br /> Customer Signature <br /> IMPORTANTI <br /> CALL 1-800-424-5555 48-HOURS <br /> PRIOR TO DIGGING <br /> t�—�. <br /> Inspection By �� ; <br /> CALL 259-8810 FOR INSPECTION 3 � ��_ �/ <br /> Date Inspected <br /> SEE SKETCH ATTACHED NO. ZHO1.4 <br /> INSPECTION <br />