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, <br /> i <br /> i' <br /> � ��' . <br /> � y i <br /> � y � I <br /> y xy <br /> yzH <br /> Ky � � <br /> h°y H � CHART NO. � <br /> � z� i everett <br /> oHd , <br /> z H g - - = - - T �nz.Ti c,a G 3�'�-��— � <br /> � y� City of Everett - '� <br /> g � H � :: :- ., .., . _ , ; " , <br /> ��� i Sewer A�plication and:; Permit , <br /> � � r _ , � ._; :; � - _ -_ <br /> �, � <br /> H c � li NO. ?H�C � � DATE Jnne 9, 1992 <br /> Service Address �PQ�A _ �n+f. ^. « Utilily Account No. <br /> BillingAddress _—�� '+ cF wa.Arr .�,ii_ c.�,�rr <br /> City, State, Zip �•�ntt, Wn 9^2ntt Permit Fee � zn o0 <br /> � Owner Connection Charge <br /> ' Conneclion b Trunk $ �zn on <br /> v �.,�3y-r.v049 <br /> Address Lateral $ – <br /> � Total Connection Charge $ 330.00 <br /> ii Phone 3r,g Eyg� Utility Development Fee <br /> Legal Descriplion: Water $ ��� r+n <br /> if Lot �n Sewer "� ;[3t� ^^ <br /> ' Block Total Development Fee $ D ^ nr <br /> ' 1 Plat �.a;u�tain–V-�ev A� <br /> 'a/ Unplatted Description: Sewer Bond District �, <br /> �' Abutting Lot Line <br /> I_ N, s, e,w . n. <br /> �' Type of Permit Approved By <br /> � <br /> �,s Remarks Issued By T a c' » <br /> '�' � Customer Siynature ' <br /> I�I IMPORTANT! <br /> CALL 1-B00-42R-5555 48-HOURS <br /> � PRIOR TO DIGGING �/�/" <br /> Inspection By� �-�1� <br /> i CALL 259-8610 FOR INSPECTION / /� � <br /> Date Inspected � �� <br /> SEE SKETCH ATTACHED NO. 28 �69 <br /> i <br /> IRvSPF�-"�r,� <br /> I <br /> • — <br />