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/ <br /> � � <br /> o�x - <br /> c H <br /> > HfA <br /> 1 <br /> H�� <br /> Q�H,y CHART NO. <br /> ��� everet. _ TO POSTING�z��SZ I <br /> ��g �p - <br /> H ." y� = _ .� r, <br /> �y� City of Everett = _ _ <br /> gdy ! Sewer Applicat�on an+d Permit <br /> �� � � � -, -- - � s � � ` _ <br /> � � � � � � . �,. <br /> �_O[yi� ;< --�� � i `r�' ,� _ 1/7D/92� r — <br /> NO. Z S S�8 ` DATE <br /> Service Address GO(�ti Heri�ian �v� Utility Account No. <br /> Billing Address - <br /> Spokune kA 991.G2 PermitFee $ �C.00 <br /> City,State,Zip — <br /> Owner <br /> itn,+trook Tnr Connection Charge <br /> Conneclion by � `� ' Trunk $ <br /> Address Lateral $ <br /> Totai Connection Charge $ <br /> ' ' Phone Utility Development Fee � <br /> ��' ', <br /> Legal Descriplion: <br /> Water $ 174.00 <br /> � ! <br /> ' ' Lot 34 -- Sewer $ - <br /> 1�' Tolal Development Fee $ ' �9'�� I <br /> Block i <br /> i ; Plat <br /> iR.iA <br /> � Unplatted Description: Sewer Bond District <br /> � Abutting Lot Line <br /> �_'� - <br /> � N,S� E�W ft. <br /> ' Type ot Permit Nev Connuction Approved By <br /> ' Issued By ���� I <br /> Remarks <br /> f_1 Customer Signature I <br /> I IMPORTANT! I <br /> CALL 1-B00-424-5555 48-HOURS <br /> PRiOR TO DIGGING <br /> Inspection By /�` �� <br /> CALL 259-8810 FOR INSPECTION ,�� ,y l�; L <br /> Dale Inspected —,— <br /> SEE SKETCH ATTACHED NO. �H57�S <br /> I <br /> INSPECTION I <br />