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i <br /> � <br /> � <br /> � <br /> CHART NO. <br /> everett <br /> �,�- � �y <br /> ; s�Z �/�, <br /> _ <br /> �G <br /> w � <br /> Clty oi Everett,` _ _ <br /> Sewer Ap�lication and Permit <br /> r r_ <br /> _. � � <br /> NO. �H Z s Z DATE is.y i�. iv9i -- -- --- --- — <br /> Servlce Address R32 - lOAP.k� 71 �� - - Utiliry Account No. -- ---- <br /> 612 - 100th P1 8� <br /> Bllling Address �"�� • �� OQ�� — <br /> Clty, State, Zlp � Permit Fee $ �„A0__ <br /> IOwner __ �• J- ��y Connection Charge <br /> IConnecUcn by n...�.�k}� Trunk $ — <br /> Address ���— Lateral $ <br /> I +���tr J� 93�07 Total Connection Charge $ _ <br /> IP�ione �56'?��� _ _ U�ility Duvolopmont Fee <br /> � Legel Description: Weter S <br /> Lot _ Sewer S <br /> Block _ _ Total Development Fee $ __— — <br /> Plet <br /> Unplatted Descriptlon: Sewer Bond District � <br /> _ Abutting Lot Line � <br /> _ _ — N, S, E, W —_ ft. <br /> Type ol Permit rmu mNaPrerpd Ap� oved By _ <br /> Remarka _II.I�_���1 Issued By �aoo*r�11 — <br /> — Customer Slgnnture—__ <br /> IMPORTANTI <br /> I CALL i-B�QO-424-5555 48-HOURS <br /> i PHIOR TO DIGGING ��, � - <br /> Inspectlon 3y '�l�s / <br /> CALL 259-8810 FOR INSPEC710N <br /> Date InspecU,d _—i� 5 ��� — <br /> SEE SKETCH ATTACHFD No. 2�Z s Z <br /> I i�-�;r�E.cnoN <br /> i <br />