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CHART N0. — <br /> everett <br /> �j <br /> � <br /> �.4 <br /> �, TO POSTING 3 3 9Z <br /> � � � � <br /> City of Everett � � o _ - <br /> r' <br /> `,,; .•. _ a <br /> n, :o . <br /> Sewer ApplicationGar'�d.Permit <br /> ;:: � � * �=� <br /> �JO. 2 8 6�8 DATE�'_ ±{areh LO.. I94? <br /> Service Address �131� 2nd Avw sF Utiiity Account No. <br /> Billing Address - <br /> City, State, Zip F..*.tc v� ak�o�t permit Fee � �n nn <br /> Owner _ Ita��e �leen Connection Charge <br /> Connection by �•�. Sr�icerv Cooec. Co. Trunk $-330,AP-- <br /> Address —1t9.1L1Lqc. 99 Late;al $ <br /> i�,,,,,,,,o,� y� oxn�� Total Connection Charge $_�30 00 .— <br /> Phone aso atta Ulility Developmenl Fee <br /> Legal Description: Water $ - <br /> Lot _ Sewer $ dll.^^ <br /> Block Total Development Fee $ I7-1 �� <br /> Plat — <br /> Unplatled Description: Sewer Bond District IZI <br /> Abutting Lot Line <br /> N S, E,W ft. <br /> Type of Pefmit +..� �.+.+*.��ion ApprOVed Oy <br /> Remarks Issued By H 9axhee <br /> Customer Signature ` <br /> IMPORTANTI <br /> i i <br /> h <br /> CALL 1-800-424-5555 48-HOURS <br /> PRIOR TO DIGGING <br /> ��� / � <br /> CALL 259-8810 FOR INSPECTION Inspection By �- <br /> Date Inspected 7 /��-/9� <br /> SEE SKETCH ATTACHED No. 28��� <br /> INSPECTION <br />