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i <br /> CHART N0. — -- <br /> � � ro ' everett <br /> � y I <br /> C � M <br /> N � <br /> � T� pn�TiNr 9 —i �-�r � <br /> � H � <br /> O C O ir. i.� ,. . . . <br /> ro y ;° City of Everett <br /> x � � , Sewer� Appiication and Pere�nit ��� � <br /> ' ;,';. ` �� <br /> � , . <br /> H <br /> it},1.11 >.'p.t�l <br /> � y II NO. ZHB7O DATE ��c �•� — , - � ,��.: <br /> N H <br /> �I !+I+.qtl ::'O.CiO <br /> � c y C� �O� /�sl–t725� Utility Account No. ' " - �� <br /> 5� ro � ServiceAddress „L. ,,,: i�;itc h��":,.!1Ci <br /> -;niri,�tt.;0 <br /> � o vNi I Billing Address `J� :.�,yt ,���• �,ii,,_.i.i <br /> �I Ciry,State, Zip �� : . ,_ _ Permil Fee � ._... __ . ' <br /> � ,��i�i.i: s}'_��iS.C�i I <br /> � Owner Connection Charge � <br /> IN l•C' 1'.O^C9 ❑C I <br /> I S ��� C,,, [k ca. Trunk $ <br /> Connection by _ <br /> i Address <br /> Laterai $ � <br /> Total Connection Charge $ <br /> Phone Utility Developmeni Fee <br /> � Water $ . '�. <br /> i,_�1 � Legal Description: <br /> �� Lot Sewer $ 471 00 <br /> � ��— ASCXR fi5(1_(10 <br /> 1 Block Total Development Fee $ t- _ . <br /> I�� <br /> �►� Plat , , . . .- .. <br /> Unplaried Description: _ <br /> Sewer Bond Disirict ' "" <br /> Abutting Lot Line <br /> � w�. — ft. <br /> ' N,S,E,W <br /> i <br /> � ��`' Type o(Permit Approved By � <br /> Remarks Issued 6y � _ <br /> I <br /> Customer SignaWre � <br /> � <br /> '�' IMFORTANT! � <br /> I <br /> I <br /> ' CALL 1-800-424-5555 48-HOURS I <br /> l �Y►� PRIOR TO DIGGING <br /> \ i, <br /> Inspeclion By ' �°/J��` , <br /> CALL 259-8810 FOR INSPECTION Date Inspected �' 3�� t L I <br /> SEE SKETCH ATTACHED No' �8�7a <br /> I <br /> W SPECTION <br /> � <br /> --- ---- . <br />