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CHART NU. — — <br /> i <br /> �� everett �� <br /> i � <br /> II � - i <br /> i = � <br /> � - - �, i <br /> I CityofEverett - � - - � ' , T� C�S�`f�G �-ZCO-R� <br /> ��y �; Sew�r Applicatimn=and_ Permit . I <br /> � _ _ - - <br /> � y � I NO. ZR7�. 7 DATE . - . - I <br /> � i <br /> � y � I Sen��:e Address 2416 Viawcrest ��ve. Ulility Account No. <br /> y �'�"� I� 5illing Address 2S1� n'^"��h i <br /> � z <br /> i � Permit Fee $ �n nn � <br /> Qy Cy I Ciry, State,Zip i <br /> H �g I Owner __� , Connection Charge <br /> �V (] <br /> z r+� , Connection by ��a� .-- Trunk $ "^ �� <br /> � H <br /> ri H , Address _-- Lateral $ - <br /> � <br /> H Tolal Conneclion Charge $ 2�0.00 <br /> oCcn i — <br /> �y � I'I Phone __ 256-4331 _ Utility Deve�opment Fee � <br /> I <br /> y �y i Legal Description: Water $ ��" �� I <br /> � Lot G Sewer $ �nn no <br /> i � Block _ Total Development Fee $ pl� ^^ � <br /> � 1'��..' I Plat _;;a., + • <br /> L� <br /> 'I Unplatted Description: Sewer Bond District _II <br /> Abutting Lot Line <br /> i �.��I II N g,E W ft. <br /> �I Type of Permit , . Approved By <br /> ��� � Remarks Issued By ? n^^ — <br /> � <br /> i Customer Signature <br /> I��`"j I IMPORT/;NT! <br /> I <br /> CALL 1-80Q-424-5555 48-HOURS <br /> �� � � PRIOR TO DIGGING //_ <br /> � Inspection By W�S�'/"``37 <br /> I CALL 259-8810 FOR INSPECTION �: 3_ y Z <br /> � Date Inspected <br /> I <br /> I SEE SKETCH ATTACHED No. 25717 <br /> I <br /> � iras�=�_c1r�r�a <br />