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i <br /> CHART NO. — <br /> I ever�tt <br /> � � _ �� <br /> TO PbSTING �Q_ 2—$—�' — I <br /> yr� � _ � - _ i <br /> �'n I City ot Everett : " I <br /> ,ozs � - - <br /> y zH ��, Sew+�r Applecativn _and Permit ' <br /> �C y� I _. _ - . - _ _ � <br /> OlzO i ' - : `_ - - - <br /> `� �H No. 2'l�7 J ea re r �us::-lA. 1�9V I <br /> ' I <br /> � y d �i Servic�Fdd,�ss �.'.C2 1.^,t i�r. �L: Utility Account No. � . <br /> � m I Billing Address p � `^` �0� <br /> �y g �I <br /> z H� I Ciry, State,Zip �-+���•�!��:;K.-yi;.38 Permit Fee $ 30 00 <br /> ay ; � <br /> r �y � Owner , , , Connection Charge ! <br /> g �-�•+ �..- Trunk S I10.00 � <br /> n C v� I Connection by _�i_ j <br /> z �y II Address —� Lateral $ �I <br /> y o cn I <br /> 7otal Connection Charge $��q,{��� <br /> Phone 914-.i;i1:� Utility Development Fee <br /> I Legal Description: Water $ 179.OG ' <br /> I_ot --c�. --- Seker � 47�.E6 � <br /> �e <br /> �� I Block Total Development Fee � _ . <br /> Plat �;iq�.rxx1 Y�crraca <br /> �-a. � I Unplatted Description: Sewer Bond District �`j = il <br /> Abutting Lot Line I <br /> �� � I _ N, 5, E,W ft. II <br /> I <br /> ' New c:o�u��cti�on <br /> � Type of Permit Approved By <br /> !''� �I Remarks Issued By�L4y ��*� rn — <br /> � _ Customer Signature � <br /> '�'�'— IMPORTANT! <br /> �+� CALL 1-800-424-5555 48-HOURS e <br /> �RtOR TO DIGGING /�/" / _ � <br /> Inspection By �`< «llv I <br /> � CALL 259-8810 FOA INSPECTION <br /> Da�e Inspected /��'��' ��' <br /> I <br /> I SEE SKETCH ATPACHED No. 27879 <br /> - . � <br />