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everett <br />City of Everett <br />Sewer Application and Permit <br />No. 27912 DATE <br />Service Address - Utility Account No. <br />Billing Address <br />City, State, Zip — , , <br />Owner Steven IIartlor <br />Connection by a,.rri ,. r tn�r� .. <br />Address <br />. - <br />t■� • <br />Legal Description: <br />Lot <br />Block <br />Plat <br />Unplatted Description: <br />Type of Permit — <br />Remarks <br />�.\ NAF.i-.PhK'.li:f<Q.b1�S�D�K1P' <br />IMPORTANT! <br />CALL 1-800-424-5555 48-HOURS <br />PRIOR TO DIGGING <br />CALL 259-8810 FOR INSPECTION <br />SEE SKETCH ATTACHED <br />Permit Fee $ <br />Connection Charge <br />CHART NO. <br />I'1• ' �'• ' 1 <br />� <br />TO POSTING i�-�+-�-� <br />Trunk $ <br />Laterai �i:: ii$'h� ��i ��ii�f�:��u'r'� <br />Total Connection Charga�:W�$`�+"' �ne <br />IG.I'a; . ;��. <br />Utllity Development Fee i�� �;i, _:;�;,i�al <br />i�.t:N ,:,i, ,ni <br />Water i���4,� �' ` <br />I��'Af� �� _ti.;(1 <br />Sewer I: �SF$i+ ev.'�� <br />TotalDevelopmentFee���'��•� ��'��•�� <br />;tl�l:t t ;O.I.YI <br />t,l_ULE' '.� - �O.UO <br />K�ilni.'; =' 1 < <br />Sewer Bond District —���;, �'��*T", <br />.;IA.K1U;;5Yi.i <br />Abutting Lot Line �;,�,�.�. -ri5�,,iN� <br />N S E W �I;i1�G !);;r-,..'i ft. <br />Approved By <br />Issued By ,- . <br />Customer SignaWre <br />Inspection By �� �-�' ! � ' ' <br />Date Inspected � <br />li �(�" _CTION <br />NO. G7Q�� <br />