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I everett <br />�e <br />� Clry of Everett <br />CHART N0. <br />N <br />' ' - .� '. ,^. r . <br />�� Sewer Applicatia�t; and Perrnit <br />N0. � S�� � 1 DATE .-Tn +ruery Iz� � Z*14i-- <br />I Service Address _ ---- Utiliry Account No. <br />3hd��INt+`�t 5t----- <br />Billing Address --��-�� �-�-F� -----'-- <br />� City, State, Zip —(;ws . - <br />i _ <br />� Owner — , <br />� Connection by _�e-- — — <br />Address — - <br />i <br />Phone �7=�2Y?- <br />L.egel Dascription: <br />i <br />� Lol ._ � <br />Block <br />Ptet <br />i,�- �cT::T-3I� <br />� Unplatled Descdptloo: _ <br />Type ol Permil _ �� <br />Aemarke _—.— <br />IMPORTANTI <br />CALL 1-800-424-5555 48-HOURS <br />PRIQR TO DIGGING <br />CALL 259-8810 FOR INSPECTION <br />SEE SKETCH ATTACHED <br />TO POSTING '- '�%`� <br />TO POSTING ��,��_ <br />Peimit Fee 5 , - <br />Connectlon Charge <br />Trunk a -----'— <br />Laterel a <br />1'atel Cannectlon Cherge $ . —e------ <br />Utlliry Develnpment Fee <br />Water $ —t�;t�---' <br />Sewer a ---k7 i :�8--- <br />Tcia� Development Fee 3 , <br />Sewer Bond District __ — <br />Abutting lot Lina I <br />N,.g, E, W __-- h. <br />Approved By <br />Issueu By __ — <br />Customer Signature -- - — ---- <br />��: � <br />. <br />Inspection By " — <br />a <br />Datelnspected — <br />No. 29121 <br />