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,. `� <br /> ;- . � � <br /> : <br /> � <br /> I <br /> �� � I <br /> a�� _ . .��.� � <br /> H�� <br /> fe O <br /> ��M � <br /> CHART NO. I <br /> '� everett <br /> �o - <br /> �i tna g � - TO Pr�-";r �/-��n� <br /> .��.,H� �c •`�i' �; :'? � 7+ l� �.',' =- �:�'� '� $ � ��� <br /> � Clty of Everett = � �, o « � � • . .,i �y � �,o,' r c� <br /> � � �' ., � ' _ .. � <br /> N r.: �� � :n r. » � �' r. j � p ..s <br /> � � > Y. p <br /> ��� Sewer Application anc� Per�n�t . = � „ <br /> �, i <br /> �:' o_ .._ � � � <br /> -; �-, . � = � � � � T � � � � <br /> � a �� ; (�/ <br /> �� . � � µi .�� � = � � � 1 ' U� �1 -3 1� �' r.r � I <br /> . . . i�j _ ._i .- - <br /> NO. Z 8 S H 3 DATE � �-l.���q� <br /> � <br /> Service Address ��=--gg-- Utility Account No. � <br /> � <br /> BIIIingAddress —�4^�� *' � Ava <br /> City,State,Zip _ -- Permit Fee $ 'to_nn i <br /> Owner Connection Charge <br /> Connecticn by Trunk $ i <br /> -� .4ddress Lateral $ — <br /> � �� Tctal Conneclion Charge $ — <br /> i <br /> � Phone Utility Development Fee <br /> 1 ��1' LegalDescripfion: Water $ �7�-on <br /> � Lot Sewer $— <br /> i —�1 Block Total Development Fee $ � <br /> `'� Plat <br /> Ur.plattea Oescrip;ion: Sewer Bond District <br /> �� Abutting Lot Line <br /> N,S, E,W ft. <br /> � <br /> � �'�� Type of Permit Approved By <br /> I <br /> Ramarks Issued By <br /> ._ Customer SignaWre <br /> �� <br /> IMPORTANT! <br /> CALL 1-500-424-5555 48-HOURS <br /> PRIOR TO DIGGING / <br /> InspectionBy �`"`��/" "— <br /> CALL 259•8810 FOR INSPECTION <br /> Date Inspected 2�'- ��/5'z <br /> I <br /> SEE SKETCH ATTACHED No. 28583 I <br /> INSP�CiIOiJ <br /> � <br />