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CHART NO. ----- � <br /> I everett � <br /> � i <br /> � = i <br /> TO POSTING �v -ZS-9, � <br /> ICiry of Everett ._ _ _ - <br /> H O H + <br /> � I` � <br /> �� lication=and. Perm <br /> Sewer A - - , _ <br /> y pp - � <br /> �[ � y 11 - - - = -. _ -_ _ ._ L�-- I <br /> �H � NO. '�-T96s DATE — —�— i <br /> � y � I Utility Account No. — I <br /> y�y N� Service Address �gq,5-� ., . <br /> U1 N <br /> y I Billing Address <br /> Cit State,Zip �,v�aro Permit Fee $ 30.00 I <br /> o �d � y, <br /> Conneclion Charge _ i�orthnnd i I <br /> ��'q g Owner c ne Y � <br /> � Trunk � <br /> � y Conneclion by I <br /> y y Lateral � � I <br /> Address <br /> g ty y . Total Connection Charge $ <br /> �� vi I Phone Utiliry Developmen[Fee '� <br /> HOV� I <br /> Water � 1O °" I <br /> � Legal Description: ', <br /> Sewer $ M171 �� I <br /> Lot I <br /> Total Development Fee $ �s� nn — <br /> � Bloc,c I <br /> L� Plat � <br /> fi A I <br /> Unplatled Description: Sewer Bond Dislrict <br /> Abutting Lat Line 1I <br /> I h, <br /> I �� N,S� E�W <br /> '� Type of Permit r� v r �+n — Approved By i <br /> �� Issued By I <br /> Remarks I <br /> Customer Signature <br /> i� <br /> ��� � IMPORTANT! �I <br /> � �i <br /> CALL 1-B00-424-5555 48-HOURS I <br /> �� PRIOR TO DIGGING �/��,��- <br /> Inspection By i <br /> CALL 259-8810 FOR INSPECTION Date Inspected �` �� ' � <br /> , No. 2��ss !, <br /> I SEE SKETCH ATTACHED <br /> � i��::s�,��Ciiot�! i <br />