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��� <br /> o � x - <br /> C H <br /> � �� CHART NO. -- <br /> K � <br /> everett I <br /> �H� e <br /> NN ��Z�Q�J' <br /> x <br /> TO P(�STING� <br /> o� e C:ity of Everett <br /> H �8 <br /> �y� Sewer Application and Perrr4it <br /> HH <br /> gN <br /> �y i N0. 2H7 .�7 DATE <br /> �y y Service Address io231 — ist r�r se Utility Account No. <br /> HO�n <br /> Billing Address 163�5 �sE�r-Ss <br /> Ciry, State,Zip ��L—„� ggg�— Permit Fee $ . <br /> Owner e�,; �-�•��- Connection Charge <br /> � <br /> Connectionby _ Trunk $ '+30.0o i <br /> Address Lateral $ <br /> Total Connection Charge $ 338.00 i <br /> Fhone Utiliry Development Fee i <br /> � Legal Description: Water �� ``$��� ��`�'o'�Hnu'"`"""'� " � <br /> ; ; I Lot y3 Sewer ;�!��!t�":-:';471.00 I <br /> PLI�li i.w'�.�al <br /> � Block Total Development Fee f Lt�.$ fi5��.���— <br /> '�+ id.Cli �,.;U.�3� <br /> � Plat illl ili . .'.i�� <br /> '�' UnplariedDescription: SewerBondDistrict � '��� . �,.�� � <br /> � � Abutting Lot Line �:�y,a:;c u�� ' I <br /> .i i,'�.0 7'.i�,�q I <br /> '�'' N�S� E�W 1:97;ii(I . . :il.(!? fl. <br /> i I'i l� :� -i,:1Ll.�u7 � <br /> ��� TYPe oi Permit �y conn�ciiraa APProved By �l i+ �;. :';., �u� <br /> �� Remarks Issued By <br /> �1 Customer Signature� <br /> �� IMPORTANT! <br /> � CALL 1-800-424-5555 48-HOURS <br /> � PRIOR TO DIGGING /�� � <br /> CAIL 259-A810 FOR INSPECTION Inspection ey/ ,5��- �j�:�%. A./� I, <br /> �. <br /> i Date Inspected '����_ <br /> SEE SKETCH ATTACHED No. 2SO3T <br /> I <br /> 'I r,�; �, ,. I <br />