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CHART NO. <br /> e�uerett <br /> 5 e�+ to ,�os�,�� G -c�� <br /> :_ <br /> Y� <br /> ^ 'rJ� G l�.i ��.� �Tj }t� C � V � :�. <br /> City of Everett � �; ,� � :; _ Q � a o __ ;. <br /> - = ;,� � �i <br /> �. _,; � ,,, �. _ =.; �, <br /> Sewer �►pplic��i�in ar�d � rrinit <br /> � � R '� � � � � �� � � � � <br /> NO. 2 7 9 3 Z � D TE ��,�,� ��yyg— <br /> Service Address ����yt � gy Utiiity Account No. <br /> Billing Address <br /> City, State,Zip Pennit Fee $ ao 00 <br />� Owner Connection Charge <br /> Connection by Trunk $ _.L,•�._,�-- <br /> Address Lateral $ <br /> Totai Connection Charge $ 11n_oe <br /> Nhone �;ggg Utility Development Fee <br /> Legal Description: Water $ 179.00 <br /> Lot _6� Sewer $!+� ^____�— <br /> Block Total Development Fee $ e5g,�— <br /> Plat - <br /> Unplatted Description: Sewer Bond District �--a � <br /> Abutting Lot Line <br /> N, S, E,W h• <br /> Type of Permit r,�Y .�.+.+..�s..�+ _ Approved 8y <br /> Remarks Issued By — <br /> Customer Signature <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 �"'� r��� <br /> SEE SKETCH ATTACHED No. 27932 <br /> INSPECTION <br />