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i <br /> II <br /> CHART NO. <br /> � b everett <br /> � � � TO POSTING___��i� � <br /> � � � e <br /> � � ;� ,�: , . . , .,.,:,�. <br /> �°e � N City of Everett <br /> i`)�,o27•,` :: <br /> � � � Sewer Application and Permit E.��4�� ���-��� <br /> °a � � `':'_"`1` <br /> M Pt F:i; <br /> � A-��{ t;�ll.f6`.� <br /> �"� �„� i i_;� i'i i r.� ?;� . <br /> � H � NO. ��4JrZ DATE —a3 �: ;r:.�� a�..a.e <br /> $� N �;�,.4w1�, ,'n.rw <br /> ?S o v~i UlilityAccountNo. :;::; :;�:'�'.. <br /> � � � ServiceAddress btnlF[f•� 6iC�5•��� <br /> � vi Billina Address ^ `'���t�``'"` <br /> "a.F1Li' =;j:,�N- <br /> City, State,Zip _�}e�;—wir--9fl�36------- Permit Fee $ ��,., , ; ,,�_ <br /> Owner � <br /> Connection Charge '�����'f� ``�'���'�'� <br /> Connection by Trunk $ — <br /> — urr�er <br /> Address Laleral $ <br /> Total Connection Charge $ — <br /> Phone ��� ?dzs Utiliry Development Fee � <br /> /���r Legal Description: <br /> J�/ater $ "Q °Q <br /> I � I Lot Sewer $ <br /> � Total Development Fee $ �50.00 <br /> 1 '—_ I Block <br /> �.�� Plat <br /> I Unplatted Description: Sewer Bond District <br /> I <br /> � Abutting Lot Line <br /> �� NSEW ft. <br /> Type of Permit Approved By <br /> ��►� Issued By <br /> Remarks <br /> Customer Signature <br /> J - <br /> ��! IMPORTANT! <br /> � <br /> -,r� CALL 1-500-424-5555 48-HOURS <br /> � PRIOR TO DIGGING /� /G !c_ <br /> Inspection By h' L <br /> CALL 259•8810 FOR INSPECTION Date Inspected ��- "� y� <br /> I SEE SKETCH ATTACHED No. 2845?_ <br /> I <br /> I WSPECTION <br /> i <br />