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��� <br />;�� <br />H � <br />K � <br />��� <br />Vl H <br />� �� <br />��g <br />%i Y (] <br />C" y � <br />t-� H <br />g�� <br />� H t�i+ <br />y O �t <br />everett <br />e <br />Cfty of Everett <br />Sewer Application and �ermit <br />NO. ZAS?� DATE _ ,� ,��, <br />Service Address — ���" �;� �ti'7 nnd nve _ Utiliry Account No. <br />Billing Address <br />City, State, Zip , . <br />�Wf18f �'r� Aec4nan <br />Conneclion by <br />Address <br />Phone <br />Legal Descriotion: <br />Lot '�153^ <br />Block 336 <br />Plat „ . „ <br />Unplaried Description: <br />Type of Permit � �— <br />Remarks <br />IMPORTANT! <br />CALL 1-800-424-5555 48-HOURS <br />PRIOR TO DIGG:NG <br />CALL 259-8810 FOR INSPECTION <br />SEE SKETCH ATTACHED <br />C! ' RT NO. <br />TO POSTING__ - -G � <br />LI1;u;Yl i 11 I' 1[?(lUflNt:.'_`t •�: �� <br />Permit Fee $ �+�1'r�� <br />Connection Charge ����'-��"�" <br />u��rEr s�>sa,c„ <br />Trunk };��R�'" <br /><ltJ1F' };O.np <br />Lateral i PJL�� <br />�;;,,�n^ � o•r i <br />Total Connection Charge� �y;$ � �� <br />Utility Development Fee f�'t �: '�'.�� <br />r}�Cf� t:A.l�� <br />Water iili �fi r' o ; <br />L' ��!: •r. 1 <br />Sewer I�FaK.$ �.71'omfi <br />CttfCt' bi`.;.": <br />Total Development Fee $ Fsn �n <br />Sewer Bond District <br />Abutting Lot Line <br />N, S, E, W h• <br />Approved By <br />Issued By C8 <br />Customar Signature _� �--` ,, ` � <br />i <br />Inspection By �"'""`�—J <br />Date Inspected / T" "� � <br />IN5P[CTIOPd <br />No. 28527 <br />CLGk"N <br />P <br />R` <br />s. <br />