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I everett CHART NO. <br /> ''�tr"�'�i7 I � �; -- <br /> �C+7 ( - C� 9, � � i� �= "_ " � r. ; C: �cS�,i4� fU�y�� <br /> ��H 'I City of Everett - � - _ _ _ ? � <br /> _' t, <br /> t'- �y I - � ,:� <br /> K �� ,� Sew�r Appiication and ,�?�rmit, ` : ' <br /> oxo � - - �- -' - _ <br /> y �C � ��0. �7�9 Z DATE Auquet 20.J1990_y �, <br /> � H b � G207 lat nr Sr � <br /> p �..,g Service Address _ _- Utiliry Account No. — <br /> ��n Billing Address 5130 :7arTweY. avo _ <br /> Cy� � City, State,Zip v.�.,.rte, wr oo�oi __ Permit Fee S 30.00 � <br /> i <br /> t7 [~i�y ,� Owner _;��e-n,y._�._r,�,at�eyen. Connection Charge i <br /> � �r I Connedion by S� �--��� Trunk g 110.0^_ � <br /> y o� � Address Lateral $ j <br /> � � <br /> i - Total Connection Charge y__ 110.00 I <br /> Phone _ 34�-5¢60 __ _ Utiliry Development Fee ; <br /> i ! <br /> LegalDescription: Water $ 179.00 <br /> `,� „� I Lot 50 -- — Sewer $--".r,�,B6 i <br /> '"'' Block Total Development Fee $ 650.0o I <br /> '� .,�' i Plai n3dp�vood 7'errwm , <br /> � � I Unplatted Description: Sewer Bond Dis�rict �ona i I <br /> (� "�) Abu�ting Lot Line i <br /> . ... <br /> N, S, E, W — ft, <br /> ( � Type of Permit r' �,,,,,,,c*+�� Approved 8y <br /> ""�`� � i <br /> Remarks _ _ Issued By v.•.q,�r vc*ao� <br /> ( — Customer Signature <br /> IMPORTANT! I <br /> d '� CALL 1-800-424-5555 48-HOURS � <br /> PRIOR TO DIGGING ��� <br /> � CALL 259-8810 FOf3 INSPECTION Inspec�ion By ���''�'"`� ' <br /> Uate Inspecled •3 �Z '�� I, <br /> � <br /> j SEESKf_TCHATTACHED NO. �7�9� � <br /> � ', <br /> i <br /> �i�`r., <br />