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��� <br />m�x <br />� � <br />9HN <br />C <br />y �-�i <br />�H� <br />oxo <br />'i1 H 'i1 <br />V1 H <br />xo <br />H <br />OHC <br />�/��g <br />^. V �] <br />t+ y � <br />Ny <br />H <br />C]�i�n <br />��� <br />HOfn <br />� <br />everett <br />e - <br />City of Everett � - - - - _ • <br />Sewer Application and :Permit ; ��. <br />c _S . � � 1 • <br />r-�--=-:~�='��_ <br />No. 28364 DATE .t�ny �r, rnni <br />ServiceAddress 541u 5 lst .�ve <br />BillingAddress �'��''F '':'�•� nr ts r� <br />Ciry, State, Zip 'vece6�{ l—'.�^�r�• <br />Owner Ayt��v inunirL <br />Connaction by <br />Address <br />Phone <br />Legai Description: <br />Lot _ 3 <br />Block a� <br />PIBt Tocu of Lm�ell <br />Unpla�ted Description: <br />Type of Permit :;ev Service <br />Remarks <br />IMPORTANT! <br />CALL 1-800-424-5555 48-HOURS <br />PRIOR TO DIGGING <br />CALL 259-8870 FOR INSPECTION <br />SEE SKETCH ATTACHED <br />Utility Account No. <br />CHART NO. <br />TO POSTINC <br />��°��a'— <br />PermitFee $ �U.oO <br />Connection Charge <br />Trunk <br />Lateral <br />Total Connection Charge <br />Utility Development Fee <br />Water <br />Sewer <br />Total Development Fee <br />Sewer Bond Districl <br />Abutting Lot Line <br />N, S, E, W _ <br />Appraved By _ <br />Issued By. <br />Customer Sipnature <br />$ z7�`.t'6 <br />g a5u_;?n <br />$ ��n_r,n <br />$ 224.Oa <br />$ :"—�,�n <br />$ 813.00 <br />T,oud II <br />ft. <br />i <br />�y � <br />InspectlonBy�!«'�'�—�--- � <br />Date Inspected �'�%/ I <br />I <br />i <br />IIJSf'=CTIOti <br />No.283�4 <br />u <br />