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CHART N0. I <br /> Ieverett �I <br /> � = - - - TC POSTING_ �� -z�-��— '�, <br /> HC� "H� _ - <br /> � � y = _ _ _ - - _ - � <br /> Q x City oF Everett _ - _ _ � - <br /> t' H VJ :. .. .. . .. - . � ._ �I <br /> ��� � Sewer Appli�ation_ ant!_ Permif i <br /> H 7tl = - ' <br /> I ^ II <br /> yy � N0. ZHOSO DATE ,� �'� - -- � <br /> � <br /> x � <br /> I UliGry Account No. <br /> p � b �crv'ce Address „ - <br /> y�j� � b:llin Addtess ' ' " I <br /> Permit Fee $ 10 n� <br /> � H� Cii. ' �ate� Z�P ---T�'� I <br /> i..� H Connection Charge <br /> � cn O'.�ar , �I <br /> ri I $ i <br /> �d y Connaction by Trunk <br /> �� y �,ddress :aue--- , Lateral $ <br /> Total Connection Charge $ �, <br /> Phone ^- ' Uliliry Development Fee I <br /> � Water $ <br /> I Legal Description: I <br /> ��� ,�_ Sewer $ <br /> �� Lol ���- ., . <br /> Total Development Fee $ nou3 <br /> Block '� <br /> � �`� Plat I <br /> I ���' Sewer Bond Dislrict �orch �ud - I <br /> Unplatted Description: <br /> Abutting Lot Line �, <br /> �� _ N� S� E,W n� I <br /> Type of Permit _ Approved By <br /> !' � Remarks uh�r� dnpl�x was previously seived Issued By � <br /> Customer SignaWre i <br /> ��� 1 IMPORTANl! <br /> CALL 1-800-424-5555 46-HOURS <br /> PRIOR TO QIGGING n�� <br /> inspectian By •�� <br /> CALL 259-8810 FOR INSPECTION Date Inspected �°"�- �l <br /> I <br /> SEE SKETCH ATTACHED <br /> No. 28�50 I�I <br /> wsrrc�ior! � <br />