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,ti CHART NO. — <br /> � everett <br /> � <br /> � _ _ _. <br /> �ir� I - I <br /> ,a�x I - - - - <br /> ��c~n i City of Everett-. _ _ -_ <br /> o �o j� - � ,i TO POSTING. iaa-�s_ _ <br /> S�v�►er Applicat�on anc� PE,rn�.t � <br /> � �� - _ - � <br /> V1 H i . . . _ � :: �. .�: _. :_. <br /> oy� �I NO. �H.�J�3 � . DATE r,1�r�,ti �?L-- <br /> � M o i Seraice Address 1420 xosauth ave. Utilib/Account No. - � <br /> �� n <br /> � I Billing Address I <br /> g �y I City,State,ZiP �---^*t,--w Permit Fee $ 3D..o^ � <br /> ri <br /> � d�' Owner pe j�x n�nat� ConnectionCharge <br /> � �r �I z�o.no <br /> z y� Connection by _�+�,•...�� Trunk S �I <br /> y �N � Lateral $ as� 0� ! <br /> Address -- <br /> i — Total Connection Charga $ �»•00 <br /> I <br /> Phone ac� a�,�� -- Utility Development Fee <br /> �i <br /> Legal Description: Water $ 179.0o j <br /> �� I <br /> � Sewer $ 4�1.00 � <br /> Lot Z — <br /> I Total Development Fee $ E5o.00 <br /> E�, ,e,' I <br /> Block <br /> - ' Plat Short n:�at @27-90 _ ''i <br /> Unplatted Descript!on: _._.-- Sewer Bond District �+�� �7 <br /> '� � � Abutting Lot Line <br /> � ---- --- I <br /> I N�S� E,W h' <br /> I -- <br /> � � Type of Permit �arw co�nrrcr*n-_. Approved By ' <br /> I <br /> � ••�� i Remarks _ Issued By <br /> �� Custcmer Signature <br /> �w�� i IMPORTRNT! <br /> � CALL 1-500-424-5_555 48-HOURS <br /> _=' PRIOR TO DIGGING �, % � <br /> Inspection By � �' L/��j� <br /> CALL 259-8810 FOR INSPEC710N � ���./ <br /> , Date Inspected � � <br /> � <br /> � SEESKETCHATiACHED NO. Z$35� I <br /> � �'�';�' -'�i;��ai <br />