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CHART N0. <br /> everett j <br /> � <br /> � <br /> = i <br /> - - - t0 POSTING=j:�t <br /> City of Everett = <br /> Sew�r Appli�ratian a��d Per��t: � <br /> = = = � <br /> NO. i�$3 O 2 DATE _N� ~ . _ <br /> ServiceAddress t�eia �ri, nv �p UtilityAccountNo. <br /> Billirg Address —g�,— <br /> City, State, Zip �—_ Permit Fee $ 30.00 <br /> Owner �����gen Connection Charge <br /> Connection by �ri ; _:�, ___ ___i�r_�� Trunk $ <br /> � <br /> Address —. Lateral $ <br /> - L <br /> �ce=e*� �n2os Total Connection Charge $ <br /> Phone aaa-a�na Utiliry Development Fee <br /> Legal Description: Water $ <br /> Lot Sewer $ i <br /> Slock Total Development Fee $ I <br /> Plat <br /> i <br /> i <br /> Unplatted Description: Sewer Bond District � <br /> –Qp�,��_ _ _ Abutting Lot Line <br /> N, S� E� W ft. I <br /> Type of Permit Approved By _ <br /> Remarks Issued Dy_ <br /> ; Custumer Signature I <br /> � IMPQRTANT! <br /> � <br /> CALL 1-800-424-5555 48-HOURS <br /> PRIOR TO DIGGiNG <br /> Ins ection B /� / � <br /> CALL 259-8810 FOR INSPECTION P y �� � <br /> Date Inspected � 7 � �C ' <br /> SEF SKETCH ATTACHED NO. ZF33O� <br /> � <br /> II IS;'L=CTiOid i <br />