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�� y ; <br /> G H <br /> 9 H V� <br /> H <br /> y x C�HART NO. — <br /> K � �, everett <br /> �y� =; <br /> � x� � ::. , <br /> o � d .. � y. � �n ��!STING 3-3�-s3 <br /> H � g CltyofEverett �� � � � c � � � � G , F <br /> H. � � t� � =- �` ; . :; <br /> � �� Sewer appiic�tio �a�nd��ermit , <br /> �y .. ,�. � � = <br /> g � ��' yU4 � `��"' �� a � ^ U <br /> C�C f~A ry'T�': (� ,-� -� � � � .� �... <br /> N�. G�D Or�7� � � o u .� � '�S - u �.i �-+ '-.� <br /> �� � 1 DATE aaril 13. 1�9z <br /> HOy <br /> Service Address ��9 �a��d �pa- Utility Account No. <br /> Billing Address <br /> Ciry,State,Zip ��l�o. W� 982�s Permit Fee $ 30.00 <br /> Uwner +�u �;.aar -- -- Connectl�n Charge <br /> Connection by Trunk $ ��� �� — <br /> Address L2teral � 450.00 <br /> Tolal Connection Charge $_�_0.00 <br /> Phone Ulility Development Fee <br /> f�1 Legal Description: Water g 224.00 I <br /> 1�1 LO[ � Sewer $ 509_DO <br /> '�' Block --- Total Development Fee $ A13.t�a <br /> ��' Piat sp il24–B8 <br /> ' Unplatled Description: Sewer Bond District Bond Iz <br /> f _ Abuttiny Lol Line <br /> '�1 N�S� E,W ft. <br /> 1 ' Type of Permit Naa �p�,q�rn� Approved By <br /> � <br /> '�1 Romarks Issued By wall <br /> 1 ' Customer Signature <br /> � <br /> f! IMPORTANT! <br /> ��� CALL 1-800-424-5555 48-HOURS <br /> PRIOR TO DIGGING <br /> / <br /> CALL 259•8810 FOR INSPECTION Inspection By ��""``�' <br /> Datelnspected �•'��''yL <br /> I <br /> SEE ."KETCH ATTACHED No. 2�681 <br /> INSP�CTION <br /> I I <br />