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ICi�ART NO. <br /> evey ett I <br /> � = y T� nncTiN(: 2-��-�3--- <br /> H n�"� I .� 4� J �. C. '.:'� �. �� � �-�' L � <br /> ��'� City of Everett __ _ - �: ~ � _' � �" <br /> , . :, t:: � <br /> y t '` � ' + ,^F "' � � �:. <br /> x � c� <br /> ��" Sewer Applica�ion and P�ramit �- �` � <br /> Cyy � - � - � ,�,, Qt�` ` � i' � <br /> K �n - - - �" '- -* '--cgZ� �' ` I <br /> o xo NO. ZH��� DATE -•._. ,�`- .o�i i <br /> H y t�' I <br /> I <br /> �y �� Service Address Ulility Account No. � , <br /> HC <br /> Billing Address --93 <br /> ��g Pr;rmit Fee $ — <br /> H Ciry, State,Zip , <br /> C y� Gon�ection Charge <br /> Owner —n}xe-xa�: <br /> g v'H Connection by Trunk $ <br /> c� C N <br /> � �r Address .-- Lateral $ <br /> z H ti To�al Connection Charge $�]4.9� <br /> H O cn <br /> IPhone Utility Deveiopment Fee <br /> iLegal Description: Water � <br /> Lot Sewer $ • <br /> � p Block <br /> Total Developmenl Fee $ 650.00 <br /> Plat <br /> ��` �) Unplatted Description: Sewer Bond District <br /> !� ` _ Abutting Wt Line <br /> N,S, E,W ft. <br /> Type of Permit _ . Approvsd Dy <br /> ��� Remarks _ Issued By <br /> � <br /> Customer Signature <br /> �^.,�� IMPORTANT! <br /> .�. CALL 1-800-424-5555 48-HOURS � <br /> � � PRIOR TO DIGGING � r`' �� <br /> Inspection By <br /> C � <br /> . ,, CALL 259-8810 FOR INSPECTION Date Inspected �� �,/9� <br /> �'� No. 28381 <br /> � SEE SKETCH ATTACHED <br /> IiNsr>�cTior� <br />