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- i <br /> � <br /> CHART NO. � �' <br /> everett � �, <br /> ; <br /> � � <br /> � TO POSTIN6__/a-zs-a� <br /> � �s S 8 53 8 8 S S C cu�1�Ck f-pc��� � <br /> City of Everett �� . . . Pila i t <br /> � � � � � � � � � TO POSTIN�_ <br /> Sewer Appie�ation �� Pe t � . ., � . -��`�— ' <br /> , <br /> ' ' NO. Z8�.14 DATE � � �� � m � � �1 �S � <br /> �`�... <br /> i <br /> � <br /> Service Address ��4 - ��•� � �F Utility Account No. <br /> � `, Bill(ng Address _ ! <br /> i `: Cfly� Stffie,ZIP —�aiei+-Yk 95�89 Pertnit Fee $ 30.0o j <br /> �' : , Owner ��_� Connection Charge j <br /> ' . Connection by c......�o Trunk s <br /> l <br /> � �. Address <br /> Lateral a <br /> � '` ` Total Connectbn Ch e S -0- <br /> �;.,,,. - ar0 <br />�-q; <br /> l '.< Phone Sf1-8213 Utilily Development Fee <br /> �; <br /> ; � Lepal Descdpdon: Wffier S l79 00 <br /> �t is Sewer g ��i_m <br /> ' B� Total Developmerrt Fee a 6�•� <br />`�:„ <br /> Plet — Q�`W ��� <br /> Unpletted D88cription: Sewer Bond Dfstrict � <br /> Abutting Lot Line <br /> N, S. E,W fL i <br /> Type of Pertnk 1ur eona�etioa _ Approved By <br /> Remerks Issued By � <br /> Customer Signature -' '� ��"'1�`''"�� <br /> IMPORTANT! <br /> � CALL 1-800-42M5555 48-HOURS <br /> PRIOR TO DIGGING <br /> CALL 259-8810 FOR INSPECTIOId Inspection By <br /> Date Inspected � � _ <br /> � SEE SKETCH ATTACHED N0. Z�ZZ4 <br /> `\ INSPECTION I <br />