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�,... <br /> � <br /> � <br /> I' 'ART NO. --- — <br /> , everett <br /> �r� I - <br /> ry � _ <br /> ��x - _ _ TO POSTING__Lz - 7 z <br /> a y m � City of Everett - _ -_ <br /> � �H � Sewer Application=and__P��m�t <br /> K �� <br /> yj ,-�•�7 . _ _ <br /> [n H II ' <br /> � c� � N0. 2�7+�� DATE �2-7-/"� <br /> H t7 <br /> O H <br /> �/� n o Service Address 723 41st Plaeu Ulility Account No. <br /> y�V C] <br /> 9 H� I Billing Address 7��n n i t nyo�yy` g <br /> r r+�xa �I City, Slate, Zip �a;,-�-_�-��^ -- Permit Fee $ . '�� �� <br /> � C'v� Ovmer ConnectionCharge <br /> � �N Cnnnectionby _ �""'„F E`�'",� .""'1 Trunk $ <br /> H �y I <br /> Address Lateral $ <br /> I Total Connection Charge $ <br /> Phone _ Utiliry Deveiopment Fee � <br /> i Legal Description: Water $ 224 �� I <br /> ��`� i �ot Sewer $ 5s9 Oo <br /> � Block Total Development Pee $ A�� ��� <br /> � ' <br /> � � <br /> �� Plat �•,,.�-w_�.�-at FeFesE-�Rk <br /> Unplatted Description: Sewer Bond Dislrict <br /> � <br /> ��+� Abutting Lol Line <br /> ; N, S, E,W n• <br /> �i li Type of Permit Approved By <br /> Remarks — Issued By CE <br /> �.� Customer Signature <br /> � IMPORTANT! <br /> b�t� � CALL 1-500-424-5555 48-HOURS <br /> � PRIOR TQ DI�GING <br /> - I <br /> � Inspection By �`��/"` <br /> �I CALL 259-8810 FOR INSPECTION <br /> IDate Inspected l'�'� i <br /> I SEE SKETCH ATTACHED N0. 287C��. <br /> iras�r_cror•i <br />� <br />, - - - <br />