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.-- <br /> CHART NO. _ <br /> everett I <br />� City of Everett � G � c � G � �- - �� '�`'�'°i��y 3 -1 9 -9 'v <br /> - ; <br />' Sewer AppCicat�or� and I?errriit <br /> - � � � = _ , - <br /> NO. Z 8 S� .� DATE� `aeea��ber 5, �}99i_ <br /> J22ZZ <br />� Service Address Utility Account No. <br /> Billing Address f 4335 SSdr-�t�r-tt�-- <br /> City, State,Zip g����}e.r� 9e=e5 Permit Fee $ 3e:e9 <br /> Owner —a�_Bi�a Connection Charge <br /> Connection by _ Trunk $ __ eap�p <br /> Address Lateral $ <br /> Total Connection Charge $ 880.00 <br /> Phone Utility Development Fee <br /> Legal Description: Water $ 1,150 00 <br /> Lot Sewer $ s o�n_on <br /> Block Total Development Fee $ 4,180.00 <br /> Plat <br /> Unplatted Descriptfon: Sewer Bond District — HQnd ixt <br /> 8�,� � g� Abutting Lot Line <br /> N� S, E, W ft. <br /> Type of Permit Approved By <br /> Remarks Issued By J Rxlcrall ' <br /> Customer Signature_ <br /> IMPORTANT! <br /> CALL 1-800-424-5555 48-HOURS <br /> PRIOR TO DIGGING � ' I <br /> CALL 259-8810 FOR INSPECTION Inspection By <, ' � ' _ <br /> r'- � C <br /> Date Inspected <br /> c <br /> SEE SKETCH ATTACHED N0. Z S Jr 3 o i <br /> INSPECTION <br />