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.� �-^'� . ^`�.N , :�-^r. } .S:w�. �). . .. . ��^�,s�i .'4::rj:Tv;::�^�''T—�rl <br /> , ._ CHART NG. ��� <br /> I <br /> � <br /> L� � <br /> � � <br /> �= , ,� , 4 _, � :; TQ POSSING � �-�� �; <br /> . [ . - C � :.J L^• I <br /> .. - l - - �'� , <br /> . . � C] <br /> 'Per i � <br /> Sewer Application and �n_ ��; ; <br /> r' :� '_ r-: ., ; i��.. ' _ �C� � �.�� <br /> [: ��� �:i i_� -i �. �i �. ',.; ;- ' <br /> -' .. , . � � _ ... . �i <br /> , 2 b�7 81 DATE �� a-=�-va ' <br /> ''� <br /> �, <br /> Service Address 5001 Sound Ave Utility Account No. � <br /> � <br /> Billing Address i <br /> Everet[ WA 98203 �0.00 ' <br /> City,State,Zip Permit Fee $ I <br /> i <br /> A.tt. aurke Connection Charge � <br /> Owner � <br /> Connection by �HG �� • < S Trunk $ <br /> Address Lateral $ � <br /> Totel Connection Charge $ -� i <br /> Phone Utility Development Fee I <br /> Legal Descriptfon: Water $ <br /> I <br /> Lot Sewer $ � <br /> -0- I <br /> B� Total Development Fee $ ; <br /> Plat � <br /> I <br /> Unplatted Description: Sewer Bond District <br /> Abuttfig Lot Line <br /> N,S, E,W tt• I <br /> � <br /> Type of Permit nex connec[ion Approved By i <br /> t4H '� <br /> Remadts exiating wa[er eervice Issued By <br /> i <br /> i <br /> Customer Signeture ! <br /> i <br /> IMPORTANTI 'i <br /> CALL 1-800-424-5555 48-HOURS i <br /> PRIOR TO DIGGING �`��g� � <br /> Inspection By � <br /> CALL 259-8810 FOR INSPECTION ,�,_�f ,7 y, j <br /> Date Inspected -- <br /> � <br /> SEE SKETCH ATTACHED , ` �7 E � <br /> INSPECTION ' � <br />