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� � <br /> CHART NO. -- I <br /> Ieverett - TO FOST.'" - � '�I �I'� <br /> � _ _ _ _ : _ _ - = _ <br /> �O H - -. <br /> a y City of Everett _ = ' <br /> �o z m I � �: .. . <br /> 'y�' Sewer A lication a�c� Permit � _ _ <br /> rx pp , � <br /> H �,� - . �t � a ; <br /> �-3 H -' �- y� - '. s} � ..� = -- <br /> Ky� 2. '- .'. — — c' � .. _ <br /> � H� I NO. c�.8 4 21 DATE sest*w�r 11 199i — — <br /> V1 H <br /> x 6331 ^ lat ts SE Ulilily Account No. <br /> H . <br /> � Qy d Service Address <br /> � �g I Billing Address --]18-�n+�-A�o-�— <br /> Hy � Ciry, State,Zip E��d$ HA 98Q�o _ Permit Fee g 30.00 <br /> ryy� Owner Connection Charge <br /> • <br /> � Connection by Trunk $ <br /> gdy i <br /> �j �� I Address Lateral $ <br /> y p y Totai Connection Charge $ o — <br /> Phone 3�4-1533 Utility Development Fee <br /> Legal Description: <br /> Waler $ 179.00 <br /> $ 471.00 <br /> Lol Sewer <br /> ( � Block _ Total Development Fee $ G50.00 <br /> �� <br /> Plat <br /> � �I Unplatled Description: Sewer Bond District <br /> Abutting Lot Line <br /> NSEW ft. <br /> � I Type of Permit Approved By <br /> �� Issued By J t�c�+ell <br /> � ..� Remarks <br /> Custoraer Signature <br /> �� :1 <br /> IMPORTANTI <br /> j�� CALL 1-800-424-5555 48-HOURS <br /> PRIOR TO DIGGING �a '� <br /> Inspection By v� <br /> . •- CALL 259•8810 FOR INSPECTION Date Inspected lU`�/- y� — <br /> I <br /> I <br /> � SEE SKFTCH ATTACHED No. 28421 <br /> i <br /> iNSf'GCTION <br />