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I� . <br /> I � �V <br />� Se--.... � <br /> P <br /> � • � <br /> III � <br />� <br /> � <br /> i � 1 <br /> L � I <br /> I everett CHART N0. _ I <br /> � H � �l'!_L �J �+Js�i;G.G ?;�C 'l' ' i <br /> �C�� � <br /> H I <br /> a�H � <br /> r y�' City of Everett <br /> H �� <br /> " y� Sewer Appli�ation and Permit <br /> o,� x o� <br /> yN <br /> � �� NO. Z799�i DATE , <br /> Q Hey <br /> ��� Service Address Ulility Account No. <br /> y �i� BillingAddress — }3r�Z6 }}5el�•�ro �E <br /> t� <br /> �y y y City,State, Zip ,�yq-- Permit Fee $ a9._,o <br /> � H r <br /> � dy �WfICf <br /> � �t., Connection Charge <br /> y Ha y Connection by _ Trunk $ <br /> -"- Address Lateral $ • � <br /> — Total Connection Charge $ -- <br /> Phone 839-8z}4 Utility Develapment Fee <br /> '�� Legal DescripUon: Water S 17^ 00 � <br /> _1 Lot e 20 s 21 Sewer $ 471 D^ <br /> ��.� Biock �58 Total Development Fee $ 650 00 <br /> �� <br /> Plat _ � �*�r�tt <br /> Unplatted Description: Se�ver Bond District �:�*h��� <br /> �..� . <br /> Abutting Lot Line <br /> ( � � _ N, S, E,W k. <br /> Type of Pbrmit _:�an conn.ction Approved By <br /> ( ' � Remarks Issued By <br /> Customer Signa�ure <br /> ��I�I IMPORTANT! �I � ��ti1AU <br /> l CALL 1-800-424-5555 48-HOURS / �'�A �� <br /> PRIOR TO DIGGING ` <br /> CALL 259-8810 FOR INSPECTION '/ <br /> Inspection By �'���� <br /> Date Inspected y—�'r�'' �� <br /> SEE SKETCH ATTACHED No. �7�9E <br /> INSP�C�IOiJ <br />