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CHART N0. — <br /> everett �` <br /> e �= <br /> r`. <br /> s <br /> � <br /> City of Ever9tt ��E p�� g ��g Q TO POSTING - !r,-�,'} <br /> � , qoa�� � �o - :a <br /> P w � .n . '�L p u° �tT .� <br /> Sewer �p��icatlo�i and�Permit <br /> � � �'' � �- � � � � ._ <br /> t,J �� �T. +� � � i ���. r' � <br /> rl�4Lr:'u .z �� '-'.'_� :� .'�_ �-. <br /> N0. �7 (}�l� DATE _ <br /> ausust . <br /> Service Address , Utiliry Account No. <br /> Billing Address � <br /> Gity,State,Zip Permit Fee $ <br /> � , <br /> Owner 3l��nL1la Connechon Charc�e <br /> Connaction by Trunk $��,� <br /> Address Lateral $ <br /> Total Connection Charge $ . <br /> Phone _ Ulility Development Fee <br /> Legal Description: Water S <br /> Lot u.e .rr-.+n.e Sewer $ � - <br /> G66:00 <br /> Block Total DevelopmeM Fee $ <br /> Plat <br /> Unplaried Description: Sewer Bond Dislrict � <br /> Abutling Lot Line <br /> N,S,iE,� 300' n. <br /> � <br /> Type oi Permi: Aoproved By <br /> Remarks �T�q Issued By n_ N�Se <br /> — Customer Signature <br /> IMPORTAMTI <br /> CALL 1-800-424-5555 48-HOURS <br /> PRIOR TO DIGGING / �� <br /> CALL 259-8810 FOR INSPECTION Inspection e� _ <br /> Date Inspected <br /> SEESKETCHATTACHED N0. Z79O� <br /> IhSPF.CTION <br />