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z <br /> C"4RT NO. — <br /> eererett <br /> � <br /> I <br /> ��x , _ TO POSTING �����Zs� '� <br /> ay� � Cityof Everett = �w ,�l�oU�l Ac�� ����:,�,f� � <br /> H �H I ; . - : 'I <br /> � H� I Sewer App�tcaf�an ar�d_ ���r��i� <br /> TO POSfIN6 �- q I <br /> p1 H :_ �__ . ' - <br /> ~7 zt" I " '� Fcurusi� 15, 1591 I <br /> � y d I NO. �L H 12 4 . DATE --- - I <br /> G H � <br /> � �g � 9t,13 25tL tir 51. Utilit Account No. -- — <br /> Service Address Y <br /> 9y�,y BillingAddress 1914 'i 34ti� St ' <br /> �I <br /> r H y Smt[lc liA 581V� ��•�U <br /> g y City, State, Zip Permit Fee 5 <br /> � Cy y Ceonerco Connaction Charge � <br /> � �r Owner <br /> x y� Connection by Trunk $ i <br /> H O Cn i <br /> i Address Lateral $ _�_ �I <br /> Total Connection Charge $ � <br /> Phone '"�'bzl� Utility Developmenl Fee <br />�' Legal Description: Wa:er $ 1�9•�U <br /> � �. <br /> j !� Lol � Sewer $ 471.Oo <br />� G50.(!0 <br />; � � Block Total Development Fee $ i <br /> �� Guthri� IV � � <br />�II Piat I <br /> Unplatted Des�ription: Sewer Bond District _ ' <br /> """� Abutting Lot Line I <br /> i <br /> N, S, E, W ft. i <br /> � 0 Type of Permit �+�� ��nncctiou Approved Oy � <br /> p+ Remarks _ Issued By �.ar��nret ttcLcod <br /> � Customer Signature I <br /> ( �"'� IMPORTANT! <br /> CALL 1-800-424-5555 48-HOURS <br /> - PRIOR TO DIGGING / <br /> � % -�' �G%� <br /> Inspection By� � � <br /> CALL 259-8810 FOR IiJSPECTION � <br /> Date Inspected `—� /y� I <br /> / � <br /> I <br /> SEESKETCHATTACHED No• 2�3-�� I ��, <br /> ��,igpr-CT101�1 � <br /> i <br /> � <br /> 1 <br />