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everett <br />City ��t Everott <br />�� <br />E= <br />� <br />� 8 <br />� � <br />. <br />S�wer Application and Perrn,#t � � <br />� �� <br />NO. 2 8 c 4 � DATE _TT +�,.p <br />3ervlce Addrees S21 lO�tA fl sE <br />Billinp Addrees szi 1e�cs �l e <br />Clty, 3tet6, 21p �.+�• r� �t�M <br />Owner tiw -M�r-. :�.:.r— <br />Connecllon by <br />Addreae <br />Phone � .... -- <br />Lepal Descriptlon: <br />Lot � — <br />s�� <br />Plet �_ <br />Unpletled Deecrlption: <br />Type of Permit .��� <br />Remarka <br />IMPORTANTI <br />CALL 1-800-i24-�55 48-HOURS <br />PRIOR TO DIGGING <br />CALL 25Y-6610 FOR INSPECTION <br />SEE SKETCH ATTACHED <br />CHART NO. <br />�o P�:,ek..:�� <br />5- 13-9i <br />Ut�llty Account No. <br />Permit Fee S <br />Connection Charpe <br />Trunk <br />Leteral <br />Totel Connectbn Cherpe <br />Utlllty Development Fee <br />wecer <br />sewer <br />Tmal Development Fee <br />$ <br />E <br />a <br />a <br />a <br />a <br />Sewer Bond District — <br />Abulting Lot Llne <br />N, S, E, W <br />Approved By <br />Iseued By — <br />Cuatorner £Ignature <br />tt. <br />� <br />� / <br />Inepectlon By — <br />Date Inepected --�/9/� — <br />INS('ECTInN <br />NO. ZS24U <br />