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��� <br /> H <br /> C H <br /> � Hy <br /> ,ye�� CHART NC�. <br /> �H� evcrett <br /> z <br /> oy/J�� = � _ , i� POSTiNG 3 � <br /> '..I�1 g _ _ r Z1 Y T 1 Y, J � � <br /> H� � City of Everett :: - : ' � � ': <br /> � H� Sewer A lication ar�d�Perr�i� ~ r ; � � <br /> y pp �, � �_, <br /> g�y I -_; � ., � : ,, � � � .. �: _ <br /> �. � _ �: � w � �. : - .. ., - _7 ' � <br /> �� � NO. Z$5 Z O DATE Ho�h,� 1. le2L n� � I <br /> HOtn I �� <br /> ( Service Address • Utility Account No. — <br /> Billing Address —64F.t- , <br /> i Permit Fee $ 3a ^ — <br /> Ciry, State,Z�p --:t„sret,t;-�+k-•.1t+y�--- <br /> Owner �-g��-b,Eg�snei--- Connection Charge <br /> ConneCion by � Trurk $-- <br /> Address .___ Laleral S— <br /> Total Connection Charge $ -�- <br /> '�� Phone _ Utilily Developmenl Fee <br /> � ' LegalDescription: Wa�e� $ jO'�� <br /> � 971 00 <br /> Lot + +� ;� gg Sewer $ <br /> ' 1 Block Total Development Fee $ 650.00 <br /> ��' � <br /> Plat n. �; e---'� -- <br /> ; Unpiatted Description: Sewer Bond District I <br /> Abutting Lot Line <br /> � 1 N, S, E,W �. <br /> ��' TYPe of Permit -- ----• — Approved By_ I�i <br /> �� Remarks Issued Hy T ���� — I <br /> ��� ' Customer Signature I <br /> � IMPORTANT! I <br /> , 1�' CALL 1-800-424-5555 48-HOURS � <br /> PRIOR TO DIGGING _l I <br /> CALL 259-8810 FOR INSPECTION Inspection ey —_ "f ��"� �- �, <br /> z Z _�j L I <br /> Date Inspected � <br /> SEESKETCHATTACHED No. 2852U 'I <br /> � I�'S('�CTION �� <br />