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eb�erett "'ART NO. '� <br /> City of Everett ` �" v " �: � - ^ <br /> �, = �; � �-> ��• :• <br /> r• :� ,: = :.�: �. �� v� nnST�N'�. Z z <br /> �ewe� Applicat��ar;�. 'an�i �P�rmit <br /> � � r � fL �Y J ix <br /> ;� { �,.}�,� Ni t� 'r1 L' <br /> � ~ ' - � 2 � 3 ' _I <br /> _ `, �' a �,.. <br /> ' =' � 3 « V <br /> NO. 2$6 �9 D'�TE J a.�ru z�, i���~ <br /> Service Ad^Iress �» - Als* 9� Utility Account No. <br /> BillingAddress a'4� FaA lakn Avn r. <br /> City, State, Zip seattia, Sah �Olo� F'ermit Fee $ _ 30.00 <br /> Owner Connection Charge <br /> , • <br /> Connection by �t+nar Sc�. �� • ��.,.P Trunk $ <br /> Address Lateral $ <br /> Total Connection Charge $_. -0- <br /> Phone 32e-377o Utility Davelopment Fee <br /> Legal Description: Water $ 224.00 <br /> Lot �� Sewer $ 3g9�y�-- <br /> Block . Total Development Fee $ Ria_on _ <br /> Plat Siloerhamk at Itosasi uaz7r <br /> Unplatted Description: Sewer Bond Districi -- — <br /> _ Abutting Let Line <br /> N, S, E, W ft. <br /> Type of Permit p�q ����e3r Approvnd By <br /> Remarks Issued B;� �T p�r��� ! <br /> Customer Signature <br /> IMPORTANT! <br /> CALL 1-800-424-5555 48-HOURS <br /> PRIOR TO DIGGINC <br /> CALL 259-8816 FOR RNSPECTION Inspection 9y ��c� <br /> Date Inspected � ' Z -�L <br /> SE� SKETCH ATI'ACHED NO. �8699 � <br /> INSPECTION <br /> , . , . � <br /> -�-',-�..,.., .. . . .. . . ._. .Y;r?',:����:r <br /> 75 . ,�,r.�,-.:-�o�.sw: w�.}-_;_.L�..:i <br />�- . +. _ ..,,_ :-:I <br />�� ._"�.� .,. L �.. --„1 <br />.,/"--�'G�'`� . , . . .:--.1 <br />