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� everett CHART NO. <br /> I I <br /> �im� � � <br /> ,o�z - �C�,� {a• �)c��,,,f I <br /> r y>� City of �verett = - " - ' S�Zc�G� �� <br /> H z r+ � .. . - . � <br /> � �� � Sewer Application andl �errr�it � To PosTiNc ��-� ', <br /> y �C ! _ .. : __ ; <br /> � no� � _ - . . � <br /> o Hd � No. 28034 DATE �vam+aar 20, laue i <br /> � �8 <br /> H" � i Service Address �^�___��_�__$� Utiliry Account No. <br /> t$'., '�� ! Billing Address <br /> 1-i H ' �'rZ�--I i <br /> g �� i Ci�y, State,Zip �akhel}� S•A 980�2 — F�rmit Fee $ ��.no <br /> i <br /> � Owner � <br /> � �� I —�:ifoc . , Connection Charge � <br /> y p y I Connec�ion by ___ Trunk y I <br /> IAddress Lateral $ <br /> i — Total Connection Charge 5 I <br /> ; Phone _ _.___ ______ UtiliryDevelopmentFee <br /> �'� � ' Legal Descriplion: Water 3 �pa �n i <br /> � � I Lct _.;�9}_ _ Sewer $ 589.00 �� <br /> I <br /> �y� � 61ock --_ —_ Total Development Fee $ ni a.nn I <br /> I Plat I <br /> RL 9ewa lbrreca i <br /> � � I Unplatted Description: _ Sewer Bond Districl <br /> --- Abuttinc� Lot Line i <br /> �..�..� — N, S, E,W _ ft. i <br /> Type of Permit ��.rn^n�,.t+cu� Approved By <br /> i <br /> '.. . ,� <br /> �„ � Remarks _ Issued By j%j I <br /> _� r!- i • <br /> (� � CustomerSignature � � �--t_���-c�� <br /> '�� IMPORTANT! <br /> . CALL 1-800-424-5555 48-HOURS <br /> PRIOR TO DIGGING <br /> iCALL 259-8810 FOR INSPECTION Inspection ey _��"-�G��— � <br /> Dato Inspecled �- �d "" <br /> � � <br /> SEESKETCHATTACHED N0. ZHO3d <br /> i <br /> i , : � i;�ii:;�� I <br /> i <br />