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i <br /> ;HART NO. <br /> everett <br /> I I <br /> ' � _ TO POSTING 11-5-�Z I <br /> � <br /> y �H � City of Everett Y � i <br /> � 9H I <br /> � x� '� Sew�r �pplica#ion :and Permit � <br /> Fy y� ', ' - - I <br /> H z H I .: _�, . ��. �.^ � . :-: " -_ 'i <br /> � '-3 � NO. ZR 7�7 DATE '.�sY c �o�z I <br /> 'i1 CH/ H I i <br /> '� I Service Address �nna w�w.....�� ,..0., Utiliry Account No. ' <br /> z � <br /> 0 y d � Billing Address --35;.}- . I <br /> �� g City,Sta�e,Zip ��r���gg�— Permit Fee $ _�p nn <br /> � y � I Owner ��y�z=�t}� Conneclion Charge � <br /> i Ig N y Connection by Trunk $ »� �� <br /> �d v' Address Lateral $ I <br /> 4 <br /> Z H cn — Total Connection Charge $ 27p qn I <br /> HOCn <br /> Phone 25e-4331 Utility Developmenl Fee I <br /> � — I <br /> Legal Descriphon: Water $ 22A.no <br /> I <br /> � i Lot g Sewer $ 5si9.9^ II <br /> I <br /> ��� lii Block — TotalDevelopmentFee $ ni�_nn � <br /> � Plat g�vi4w Crnst — <br /> �+1 I Unplatted Description: — Sewer Bond District Ii <br /> � � � <br /> � � Abutting Lot Lne <br /> I N,S, E,W ft. <br /> < �� li <br /> Type o(Perrnit Approved 8y_ <br /> i Remarks Issued By ,�, ���+ <br /> !� <br /> � � Customer Signature <br /> , iMPORTANT! <br /> �� � � I <br /> � � CALL 1-800-424•5555 48-HOURS <br /> I PRIOR TO DIGGING � <br /> CALL 259-8810 FOR INSPECTION Inspection By �1�� <br /> � Daiolnspecled �-��-� �- I <br /> � <br /> SEE SKETCH ATTACHED N0. 2H�TO7 <br /> �� ir,�.;P:-CTi��:i i <br /> i <br />