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� Cr+7 y az�r:%� +x �.1;;.,>;,..,�,:.-.. .,,,d:s�.. <br /> D � w . <br /> C t-i <br /> � y�' CHART N0. i <br /> y �H everett -" <br /> fCy� <br /> y�H � ;- , St.,'�- �8 r�aS��'nq $- L-`jl ! <br /> J <br /> z ` � <br /> �, -, � r <br /> �� � City of Everett-� �: `� � - � r I <br /> ��, $ :° . ;. _, � +, . <br /> �yF Sewer Application��and Permit j <br /> ray `�' - " - � <br /> y _� r _. �.: _ -_ �d = .` = <br /> gty t�i� NO. �'7 91.� � �DATE sent 5. laso <br /> �� r � <br /> y N Service Address �s n ny{n et Uliiity Accouni No. � <br /> HOfn j <br /> � Billing Address <br /> II Port Orchard NA 98366 Petrt�it FB0 $ <br /> City, State,Zip <br /> � <br /> Owner —�� Connection Charge i <br /> Connection by Trunk $ <br /> Address Lateral $ <br /> Total Connection Charge $ I <br /> Phone Utiliry Developmeni Fee j <br /> '�' Legal Description: Water $ 15�_0o I <br /> � ' Lot — Sewer $ , <br /> � <br /> '�' Block Total Development Fee $ 3.�z o� I <br /> '�' Plat <br /> 1 Unplatled Description: Sewer Bond�istrict <br /> f Abutling Lol Line <br /> N, S, E,W � II <br /> jType oi Permil Approved By <br /> Remarks Issued By , e n <br /> ��� � Customer Signature <br /> ' � IMPORTANT! <br /> !' CALL 1-800-424-5555 48-HOURS <br /> � PRIOR TO DIGGING cw� , /' <br /> �- <br /> CALL 253-8810 FOR INSPECTION Inspection ey i <br /> i Date Inspected � •a r��� � <br /> i <br /> I SEE SKETCH ATTACHEC.� No. 27913 li <br /> � I <br /> I INSPECTION � <br />