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-�. <br /> C^5:u`iw � <br /> ���� v .�.rM, �� G <br /> � 9 , � <br /> M�� ,�., . . . .. � <br /> 4�r .�,.. o✓.n .s'avw'�,. -- - - �r ,,.,- .a..� <br /> ��,� CHART NO. <br /> 0° ev�rett <br /> ��� �� <br /> �.� <br /> � Q TO POSTING �i������ ; � <br /> Q�� �/ � <br /> ,�y� City of Everett � � a� � 8 S � , � � <br /> 'j p{(t C�. Ot(] ft �Qj O •y. ,r f(A� t <br /> , .y M -j M A z' j U `J <br /> �~ ; Sewer Application a�.. i�r�i� _ �y <br /> �w 4 � � � � t-. �� � � � � <br /> ; �� . �- � :,s .. � � � � o ; � � . <br /> r, s � <br /> '-� NO. Z8547 DATE ��-s�-qi <br /> Service Address S'+i L•R�h ri cr Utiliry Rccount No. <br /> Bllling Address <br /> Ciry, State,Zip sri�r t� eeoz6 Permit�ee $ an nn � ! <br /> Owner Q ��r..�j'^-�- Connection Charge ! <br /> Connection by p� Trunk $ <br /> Address Lateral $ <br /> _:, ---- <br /> Total Connection Charge $—. <br /> ��� Phone �s(,-Zt�3$ Utility Development Fee <br /> '� � Legal Description: Water $ ll9.00 <br /> � ' <br /> • i = �pt o f nl 4 Per at ia $CWBf g_��1_nn <br /> ' ; B�k Total Development Fee R Fso nn <br /> i <br /> �� <br /> � Plat <br /> � Unplatted Description: Sewer Bond District Nond i tree ired) <br /> � I�1�' Abutting Lot Line <br /> I N, S, E,W h• + <br /> � � <br /> i �� Type of Permit _�,�oe��o�, Approved By � <br /> !�� Remarks Issued By � , � <br /> i Customer Signature - � . I <br /> � <br /> ��� IMPORTANT! � <br /> I <br /> I <br /> CALL 1-800-424-5555 48-HOURS i <br /> PRIOR TO DIGGING , <br /> � Inspection By "��� /�°'""' i <br /> CALL 259-8810 FOR INSPECTION �_ z� � Z ! <br /> Date inspected � i <br /> I� <br /> SEE SKETCH ATTACH�D No. 25547 �, <br /> � <br /> INSPECTION I <br /> � <br /> r <br />