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everett <br />,e, <br />City of Evereti <br />Sewer Applicat <br />No.28643 <br />•J <br />[J <br />In W M N <br />O <br />A M <br />ion a9diPermh <br />I <br />DATE <br />Service Address 7 1�ince <br />Billing Address <br />City, State, Zip tlu VA 981Q2 <br />Owner nai l,r Ho <br />Connection by <br />Address <br />("'ART NO <br />WT1N(; _Lz -r7-q? <br />Utility Account No. <br />Permit Fee $ 39.00—. <br />Connection Charge <br />Trunk $ <br />Lateral $ <br />Total Connection Charge $ <br />Phone 198-177n Utility Development Fee <br />Legal Description: Water <br />Lot +1 <br />Block <br />Plat _ <br />Unplatted Description: <br />Type of Permit t-ina <br />Remarks <br />IMPORTANT! <br />CALL 1-800-424-5555 48-HOURS <br />PRIOR TO DIGGING <br />CALL 259-8810 FOR INSPECTION <br />SEE SKETCH ATTACHED <br />Sewer <br />Total Development Fee <br />Sewer Bond District <br />Abutting Lot Line <br />N, S. E, W _ <br />Approved By <br />Issued By M. Hgrchen <br />Customer Signature <br />$ 2Zh nn <br />$ 5(p on <br />$ 813.00 <br />Inspection By C'�'' '^ <br />Date Inspected 3-2-I'-g'L <br />INSPECTION <br />No. 28643 <br />ft. <br />