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���.._. <br /> u <br /> �, <br /> , <br /> CHART NO. <br /> I <br /> Ieverett � <br /> ��� � e � <br /> H <br /> ��" �0 POSTING�_-iz- q� �I <br /> H�� City of Everett <br /> � `� Sewer Apptication and Pe�mit ' <br /> y� I <br /> � C~/�H I <br /> � qy� I N0. `L�7� ? DATE �n tn�� — I �li <br /> H �p _ , , •., Utility Account No. <br /> c�� o ServiceAddress ' <br /> y H� Billing Address 4';3�- ��:; � „'>'� vJ. J;:'R i;�4ni;; :,"; <br /> C� y y <br /> City,State, Zip � Permit Fee S �� ,r�i�'._,: <br /> gC� Connection Charge '��''� ''� I <br /> � �� I Owner . • .. i .r; ' '''-, <br /> Trunk �''$ <br /> y �y Connection by �: ��r.+�t __'� �'��' � <br /> I Lateral i�in,� :.��..-� <br /> Address ., ,� ry{ +�-� ' <br /> � Tolal Conneciion Charge:'� ��. Z��� �� — <br /> ,U(.t..c;i .�, <br /> Utility Development Fee ��'»F� t'��„ ��� <br /> Phone ---"— �'`�x�'��; <br /> . 3,, �,�.5 � :�� :.�� <br /> � ,: ,,� �Nater <br /> LegalDescripiion: f7fl�ti ` ��-'�� _ <br /> C'' Sewer ,, ;tg� SR�I �o <br /> Lot ..t'i I' it'..i �� <br /> � Total Development Fee $ <br /> '�� I Block ---- <br /> �, u <br /> ��0t —^�iA�iiVi44F-SSY.h�A9--�r�rrr— <br /> � __. Sewer Bond District '' � <br /> y�� Unpiatted Description: <br /> �� I Abutting Lot Line <br /> N, S, E,W <br /> ft. <br /> ��� <br /> �. I V Approved By <br /> Type of Permit <br /> , Issued By <br /> �� iRemarks <br /> _ Customer Signature <br /> ��'� IMPORTANT! <br /> CALL 1-800-424-5555 48-HOURS �.. � <br /> PRIOR TO DIGGING ��,�..;,�; � �;���,� <br /> Inspeclion By <br /> I CALL 259-8810 FOR INSPE�TION �./ 3 -< Z i <br /> Date Inspected <br /> I <br /> � <br /> I SEE SKETCH ATTACHED No. 28733 <br /> IIIJSPEClIOfJ <br /> � <br />