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i <br /> CHArIT NO. --- <br /> everett <br /> - �:. > TO NOSTING /�-S-q� <br /> City of Everett - - <br /> ' :: > <br /> SewQr Applicat��on and ::P�rmit <br /> , � :_ <br /> s ri <br /> _. __ �+' _ <br /> NQ. 28530 DATE iiiz�l�� <br /> Service Address 71A 130tl� Pl Si: _ Utllity Account N�. -- - <br /> Billing Address $°� — <br /> City, State, Zip Elrerett NA 4e2ok Permit Fee $ _ 10.u0 <br /> Owner �:10.�.-_-3ibb•coa - - Connectlon Charge <br /> Connection by Trunk $ <br /> Address _ _ Lateral $ <br /> _ — Total ConnecUon Charge $ <br /> Phone Ulility Development Fee <br /> I Leaal Descrfption: Water $ <br /> Lot Sewer $ -- <br /> Block Total Development Fee $ <br /> IPlat —_. — <br /> Unplatted Descrlption: Sewer Bond District _— LIDi 30 <br /> Abutting Lot Line <br /> - N, S, E, W -- ---- ft. <br /> Type ol Pefmit _ :ev ConnarNnn AFpfoved By — — <br /> Femarks Issued By-- �B <br /> � <br /> _ _ __— Customer Sipnah�re — <br /> IMPORTANTI <br /> CALL 1-800-424-5555' 48-HOURS <br /> PRIOR TO DIGGING <br /> CALL 259-8810 FOR INSPECTION Inspection By�� ������ <br /> Date Inspected — ���/��,l <br /> SEE SKETCH AT'TACFiEU No. 2II 530 <br /> i�as��ecTicra <br />