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CHART NO. <br /> everett <br /> TO PuSilf�G�%z�.�3_ <br /> CityotEverett ����2�;r 9:�ii�n rxau;;t;�t;st �:; i <br /> � <br /> . . . '�Nri�.'e64s <br /> Sewer Application and Perm�t ��E� ���.� <br /> ci�c�: �:m.c� <br /> NO. Z 8 G 4 9 DATE n..�� �a�1 qos I <br /> Service Address 410 �w �� �'• Utility Account No. <br /> Billing AddreSS " " <br /> City,State,Zip �--�� =,��ga Permit Fee $ 10 00 <br /> Owner Connection Charge <br /> Connection by orr Trunk $ <br /> Address Lateral $ <br /> Tolal Conneclion Charge $ -� <br /> Phone _— Utiiity Development Fee <br /> Legal Description: Water $ <br /> Lot Sewer $ <br /> Block — Total Development Fee $ -0- <br /> Plat <br /> Unplatted Description: Sewer Bond District _ <br /> Abutting Lot Line <br /> N, S, E,W TM• <br /> Type of Permit � n�se�erien Approved By <br /> Remarks Issued By J Rxkvall I <br /> Customer Signature— I <br /> IMPORTANT! i <br /> CAIL 1-800-424-5555 48-HOURS I <br /> i <br /> PRIOR TO DIGGING � �f� � <br /> CALL 259-8810 FOR INSPECTION Inspection By �"-/ i <br /> Date Inspected ��-' -�s-r� <br /> SEE SKETCH ATTACHED No. 28649 <br /> INSPECTION � <br />