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i - <br />�� <br /> I �� H <br />�i � _ <br /> �y�� � <br /> I f� o CHART �10. -- <br /> ��� everet+t _ ,� �, �d'°�t'"-7 <br />' ��� _ 5�J`a��� <br /> ��g e = TO POST�NG_:�� a <br /> L�� C� ^ �� '�-� '.C>�. � '� J ¢ <br />' z H City of Everett i _ .� � � .- �� = ? - <br /> �H� � w :,: " . `a <br /> ;: t� ; � <br /> gyy � . , -- ',. :� � � � <br /> � y Sewer Application and �e�mit � � � ;, � ; _ <br /> � � � �- <br />; � , � ;:_ , _ -- <br /> I y �v�i NO. 2��.n? DATE _�au.�arysz. �y9i � _ - <br /> _ _r _. .. _. � , <br />'i _— <br />� Se;vice Address �,,;y �y��� e� S� Ulility Account No. <br />� _ Bil�ng Address 191G n '�4ch �t <br /> li City,State,Zip � •�� �^ Q��n� Permit Fee $ 30.00 <br /> Owner - _-- Connection Charge <br /> Con�ection by Trurk $ <br /> Address -- Lateral $ <br /> Total Connection Charge $ <br /> � ' Phone - _ Utility Development Fee <br /> ��' Legal Description: Water $ ���}---- <br />, '�1 Lot _� Sewer $ `�7-�-"^ <br />' � ' Block — Total Development Fee $ —. , <br /> r <br /> �' Plat r h i TTT <br /> �� Unplatted Descri�.wn: _ Sewer Bond District — <br /> '�t Abutting Lot Line <br /> ��� NSEW — ft. <br /> � Type af Permit _ ••-w�,,,��ioa Approved By <br /> 1;' Remarks Issued By '7arrarec ttcLeod — <br /> Customer Signature <br /> f�' IMPORTANT! <br /> ` CALL 1-800-424-5555 48-HC�URS <br /> PRIOR TO DIGGING ' <br /> Inspection By <br /> CALL 259-8810 FOR INSPECTION � � <br /> Date Inspected <br /> SEE SKETCH ATTACHED No. Z8I.O3 <br /> INSPGCTIOiJ <br />