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���'J <br /> � �'.� <br /> r <br /> � �� ; <br /> ro � `� CHART NO. <br /> � �N I everett <br /> y .. �i � 5'/ /9, <br /> �,,5i YO POSYING_=�--�� <br /> Ot,U <br /> � U` N _, <br /> � �� City of Everett = <br /> �� g ! Sewer Applicatior� and Per_r�if: � , :; _ <br /> z F3� I N0. �S a� �1 DATE S�`Dtn�n�r �n_ t4�t V ' I <br /> � HH <br /> g `� � <br /> H i <br /> $ C�7� <br /> r, Service Address —623.L�-���:-n.r...-- - Utility Account No. <br /> M � <br /> yo� Billing Address '�� G"^'�^� "�- <br /> City,S�ate,Zip —s.dmonds,-WA-9A9'^ - Permit Fee S 3n en <br /> Owner Fsic aacobsen Connection Charge <br /> Connection by ��= Trunk $ '� <br /> Address Lateral $ <br /> Totai Connection Charge S '0' <br /> iPhone 334- 5» Utility Devetopment Fee <br /> i � <br /> � Legal Description: Water $ �,7��� <br /> � Cr1. �� Lot 42 Sewer $ A�� np <br /> 1 � I Block Total Development Fee $ 650.00 <br /> 1�� Plat �„�p;; <br /> r�,,s� <br /> ' Unplaried Description: _ Sewer 8ond District t �t+ � <br /> Abutting lot Line <br /> i '"' N� S, E,W ft. I <br /> Type of Permi� tiEH CONttECrIo�r Approved By <br /> !''�►� Remarks Issu�d By ��ckwc+il <br /> Customer Signature <br /> � 1 <br /> � �.� IMPORTANT! <br /> � CALL 1-800-424-5555 48-HOURS <br /> I I���� PRIOR TO DIGGING � <br /> (� Inspection By �'="�''`�"''- - <br /> I CALL 259-8810 FOR INSPECTION <br /> Date Inspected �/``- <br /> SEE SKETCH ATTACHED NO. 28419 , <br /> I <br /> li�'SFI-CI IOi-: � <br />