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CHART NO. <br /> everett �� �� � c��, <br /> �' S -rG -Q� <br /> � <br /> Y <br /> � <br /> � <br /> City of Everett ; � � � � � � 8 � �g <br /> r� � � = � G 4 � 4 " <br /> � r, u, c <br /> ,:. � reL :: m. w a � .�-� <br /> Sewer �►�i�icatio �d:.Per�nit <br /> , s �.� ,, ... <br /> � � � � �� � � �� � � � <br /> � -� � ��. � � _.w � ., � <br /> NO. Z�H 7�� DATfc _ �� � <br /> Service Address ��� �- �' Utility Account No. <br /> Billing Address � , <br /> City, State,Zip Permit Fee $ _ . <br /> . <br /> Owner Connection Charge <br /> Opt�s�,/x:� i <br /> Connectfon by ���.e.L2- Trunk $�Ae.-- <br /> Address Lateral $ <br /> Total Connection Charge $ <br /> Phone Utiliry Development Fee • <br /> Legal Description: Water $ . <br /> Lot __�n Sewer $ -;Tf�(�-- <br /> g��k Total Development Fee $ . <br /> Plat <br /> Unplatted Description: Sewer Bond District �� I <br /> Abutting Lot Line <br /> _ N g E y�/ ft. <br /> Type of Permit t,�.. ��+,.+��;.b. Approved By <br /> Remarks Issued By 1 <br /> _ Customer Signature <br /> /' <br /> IMPORTANT! <br /> CALL 1-800-424-5555 48-HOURS <br /> PRIOR TO DIGGING ' <br /> Inspection By ��'� <br /> CALL 259-8810 FOR INSPECTION <br /> Date Inspected � -°Z r� 9/ <br /> SEESKETCHATTACHED NO. Z�TS7� <br /> INSPECTIUN <br />