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___ . ____ � :�, <br />� F <br />� <br /> � <br /> I <br /> I <br />� <br /> �# :: I <br />�. <br />� CHART NO. <br /> everett ` <br /> -�o �os�.;�9 <br /> � S- i3-91 <br /> c- <br /> �� <br /> a: <br /> � <br /> � <br /> Clty of Everett.€� � � <br /> a J <br /> Hi t= <br /> Sewer ���lication and Permit <br /> F� ����i' � <br /> NO. �$�3� DATE nurti 2s. 1�1 <br /> Service Address ioa26 - 7ct, a.e se Utility Account No. <br /> BillingAddress •^^�-;i:- ��- ^� <br /> City, State,Zip �tt, wA 9e208 permit Fee $ 30.00 <br /> Owner yi�=,si�hlrr+ Connection Charge <br /> Connection by �t's s.ckt�., Trunk $ <br /> Address � �= 3'�od Lateral $ <br /> �r��Bz.p� Total Connection Charge $ <br /> Phone jr� ��,�g Utility Development Fee <br /> Legal Description: 1Nater $ <br /> Lot Sewer $ <br /> Block Total Development Fee $ <br /> Plat <br /> Unplatted Descrfption: Sewer Bond Uistrict <br /> Abutting Lot Line <br /> N, S, E, W ft. <br /> Type of Permit y�� p�.,��.y.��* Approved 8y <br /> Remarks (LID 7301 Issued By J raockw�ll <br /> Customer Signature <br /> IMPORTANT! <br /> CALL 1-800-424-5555 48-HOURS <br /> PRIOR TO DIGGING /�� / <br /> Inspection By L C<<--��f ���,/�� <br /> CALL 259-8810 FOR INSPECTION -�-7`�E — a '- <br /> Da�einspected ��,/( <br /> SEE SKETCH ATTACHED No. 2823� <br /> INSPECTION <br /> i <br /> � <br /> � <br />