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HOrH <br /> � M � <br /> m � � <br /> q H <br /> 9Hti <br /> r <br /> H � H <br /> � H7� <br /> y � CHART NO. <br /> N r � everett � <br /> � I � <br /> �iy � _ � <br /> � � g � <br /> n� o = <br /> ^H' H� City of Everett ' J c i <br /> H <br /> gyH Sewer A li�atE � • TO POSTING_►-Z$-R3 ; <br /> � d�, pp or� and =Permit � <br /> � � � ; _ . � i <br /> yov, i NO. 27574 UATE-, �t��7c�� �, �^99 � <br /> I Sen,•ice�lddress - . - . Utility Account No. <br /> � , . <br /> BillingAddress �''"#-C +� St-1� �t i <br /> City, State, Zip •�„�o� ti'* �saes Permit Fee $ �q p� i <br /> Owner � <br /> —�}3�- Connection Charge I <br /> Connection by Trunk $ � <br /> u .. , <br /> Address Lateral $ � <br /> i <br /> i <br /> Total Connection Charge $_ � <br /> � O Phone Utility Deveiopment Fee I- <br /> '�' Legal Description: Water $ zsc ea <br /> '�' Lot Sewer $ I <br /> :.0 . I <br /> �. Block Total Development Fee $ � pp � <br /> ' ' Plat _ I <br /> �.�� I Unplalted Description: Sewer Bond District :w+*,d rIi <br /> ' i Abutting Lot Line j <br /> � <br /> �I N, S, E,W h, � <br /> �1 Type of Permit _�:ek���t, Approved By <br /> ' Remarks Issued By - }y�.��.�y <br /> •��}_' J <br /> �' __ Customer Signature � <br /> , IMPORTANT! I <br /> m I <br /> i CALL 1-500-424-5555 48-HOURS � <br /> I PRIOR TO DIGGING � <br /> �.��--=-= j� <br /> i /% � � <br /> � CALL 259-8810 FOR INSPECTION �nspection e� •_ <br /> Date Inspec[ed � � / � <br /> , <br /> I � <br /> SEE SKETCH �,TTACHED No. 27874 <br /> il <br /> � '°�^LCTIO!J � <br /> � <br />