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> <br /> � � � <br /> Q� x <br /> C, H <br /> � Htn <br /> H �� <br /> � H7�tl <br /> � �ro CHART N0. <br /> � z� everett I <br /> � o <br /> � � � TO POSTING �+-_ z.-=�'--- <br /> H`�g <br /> `y' y City of Everett �l;'i L. 9i ,= � +'ii � l i.i+i:'� '��' <br /> H � <br /> i i <br /> C V� y , :ApHkni.Oi I <br /> ��� � Sewer Application and Permit �«��� �:t:.�� <br /> F�i�i ,7� iie.ro <br /> 2 H fn I: c�F'I:H :R.;0 <br /> H O [n :dKpJ��ft.i�i <br /> NO. 2 H.�?� DATE Jimo 2G 1991 — ,.�a:�,. ;. .i .u�.i <br /> SfWrF' �70;.00 <br /> Service Address 7400 A-B-C n..{ni�+r � Utility Account No. "--;"="=�:2"_ <br /> �JrIiEF' #l;lU),�., <br /> Billing Address —1�42 �'�}"����� <br /> Iry�'.M1fJ !'f7.�d' <br /> Ciry, State,Zip lfarvatille �+* Qa»� Permit Fee $ 3�.Q.T—.,f,y..: - <br /> Owner Conneclion Charge <br /> � �;ti;�. r-;.c�,�.;0 <br /> Connection by Trunk $ <br /> IAddress Laterai $ <br /> '�' Total Connection Charge $ � <br /> 1 ' Fhone Ulility Development Fee � <br /> ` Legal Descripiion: Water $ . ��' ^^ <br /> ' ' Lot Sawer $ So9.00 <br /> t ' Block — Total Development Fee $ 'Q4 �o <br /> i Plat <br /> Unplatted Descriplion: Sewer Bond Dislricl <br /> �� Abutting Lot Line <br /> �' N,S, E,W �' <br /> ;' Type ot Permit rrncr fY1`7D1Ff9'TMT Approved By I <br /> ' Remarks issuedBy T °nrk`^�� <br /> tl1 Customer Signature <br /> �+ IMPORTANT! <br /> CALL 1-800-424-5555 48-HOURS , <br /> PRIOR TO DIGGING /�� ' �, � <br /> I Inspection By � "" � I <br /> CALL 259-8810 FOR INSPECTION � ._ ���I <br /> Date Inspected <br /> SEE SKETC�i ATTACHED NO. Z S 3 Z 3 <br /> INSP6�i10I�1 , <br />