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�:�:. <br /> ��y : — ---� -----� <br /> � x� �;r-----,,---- ,-- - - �. - � _ , � , _ <br /> �y� � - CHART NO. ' I <br /> y�~ I <br /> '�tl��tl <br /> � �� II <br /> o � i, <br /> ��n i <br /> -� !:^cTING_. 9- ► -�3 <br /> �y� �, Sewer Application and Permit <br /> y <br /> g�� ''� ?9d51 r.3�iTE I/zs/�s - <br /> � � 10122 7th l�ve SG <br /> o m � Service Address Utility Account No. — <br /> — Same <br /> �, Billing Address <br /> � Everett 'dA 98208 PermitFee $ 30.00 <br /> City,State,Zip — <br /> Owner — Todd & Rosanna Pittr�an Connection Charge <br /> ''I Connection by Trunk $ <br /> I Add�BSS LdiBfB� ;.i _._$ . .::ifi��i'i CUV.i'.!'.'i"''N' . <br /> I Totai Connection Charge $ ' <br /> i — �;rii;.��.,:�:;1 <br /> � Phone Uti;;tyDevelopmentFee F;�r:c - 0, '• <br /> r.��[ t, :r�,�;�; <br /> '�1 � Legal Description: Water $ <br /> '�' � Lot Droadway Furms tio 2 Sewer $ <br /> f�1 I Block Total Development Fee $ <br /> 1_' �, Plat <br /> ' Sewer Bond District LID 730 <br /> '�1 � Unplatted Description: <br /> � Abutting Lot Line <br /> '�' I N,S,E W ft. <br /> '�' I Type ot Permit Necr connection Approved By i <br /> �/ �i Work must conmence vithia �g � <br /> Remarks Issued By <br /> � , <br /> ' I 6U dnya Customer S!b••_? `a � � � f � " � <br /> �' � IMPORTANT! <br /> '� 1� CALL 1-809-424-5555 48-HOURS �� <br /> �' � PRIOR TO DIGGING l' <br /> Inspection By <br /> ' CALL 259-8810 FOR INSPE�TIQN „ <br /> Date Inspected <br /> SEE SKETCH ATTACHED 2 i,` � � <br /> INSPECTION <br /> 1 <br />