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CHART N0. <br /> e�erett <br /> e � <br /> � TO POSTIN �3c <br /> a <br /> CltyotEverett� $�� �' "�� � ���Q <br /> 9 q� �,r�� ? M� <br /> r - 3' �.:�� <br /> Sewer �p�ilic�tio� andrt�ermit <br /> � � '�� � y �� ���`s=w <br /> NO. �7�� * ? - 5:�^ �� ;�a�� I <br /> DATE <br /> Service Address �}} U�iliry Account No. <br /> Blllinp Address <br /> Clry.Stete,2ip Permit Fee S .n_m <br /> Owner , Connection Charpe <br /> Connection by Trunk S�;o,pg <br /> Address Lateral S <br /> Total Connedion Cherge S_yp,nn <br /> Phone �{�-yp�� U�iliry Devolopmenl Fee <br /> Legal Descdptlon: Water 5 ,+e M <br /> wi seWa� a •„-M _ <br /> Block Total Develapmenl Fee S.-4SO,op— <br /> Plat <br /> Unplanad Description: Sewer Bond District aiaA +** _— <br /> Abutling Lol Llne <br /> N,5,E,\" It. <br /> Type ol Pettnit n... aese�aclm Approved By <br /> Remerks Issued By <br /> CustomerSgnaWre _ <br /> IMPORTANTI <br /> CALL 1-800-424•5555 46-HOURS <br /> PRIOR TO DIGGING l��s�� <br /> CALL 259-8810 FOR INSPEC110N Inspection ey �� G >. - <br /> Date Inspected ��-/�/ (� <br /> SEE SKETCH ATTACHED No.Z79aG <br /> ����` INSPECTION <br />