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everett CHART NO. <br /> � � s�,�1 � ,��r...� s,z�F, <br /> � <br /> City of Everott = � � �'� ��' � � � <br /> 3 ��`, E;c�c �oc — �; <br /> � .v�, " . .. ' . ' _ <br /> Sewer Applicatioi� �nd P�rrpi#, _ <br /> R _ � i ./ <br /> � �. r V' µ �i �1'�'i .-' _ '-. <br /> NO. 281133 DATE u�.b...zo. isso - _ _ <br /> Servlce Address fi0�=3�L � a Uliliry Account No. <br /> BIIIInpAddress i64f }��m �! e! <br /> Ciry,State,Tip �ec�.11 r� feev permit Fee $ 70.00 <br /> a+^e� yi��n� �t Connection Charge <br /> I Connectlon by Trunk � _ <br /> Address Lateral 5 <br /> Tolal Connection Cherge $ <br /> Ptqne Utility Development Fee <br /> LegalDescriptlon: Water E _io�_m _ <br /> Lot s� Sewer y 5�9.�0 <br /> B� Total Development Fae 5 •�� ap <br /> Plet I�idq��u� 7wnr�� <br /> Unptetled Description: Sewer BonA District <br /> eese : <br /> I Abutting Lot Line <br /> N,S,E,W @. <br /> I Type of Permit Approved By <br /> Remerks Issued By i <br /> CusromerSignat�L� �'� �� �n�.��e� <br /> i .. <br /> IMPORTANTI <br /> CALL 1-800-424-5555 48•NOURS <br /> PRIOR TO DIGGING � <br /> CALL 259-8810 FOR INSPECTION Inspection 6y <br /> Date Insprcled S�L�4i _ <br /> SEE SKETCH ATTACHED r,o. 28033 <br /> INSPECTION <br />