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CHART NO. — — <br /> everett <br /> eTO POSTINf 3/��/9x I <br /> City ot Everott O: IIM1 '•.: ::.`�F'll IA M!'�Y.`hlH �n t II <br /> Sewer Application and Permit "��"`� I <br /> •�� ��.�, <br /> _ � � u�,m <br /> NO. 2�sQ8 DATE _4r �s�1222 - <br /> Service Addreae n= - uec� el �t-. Utlliry Account Ne. --- --- <br /> dillinp Address — - <br /> Clty,Sle:e,21p —��—��p----- Permit Fee S __�_ --____ <br /> p�y�� _ woeis �-r.+.�.._ Connection Charpa <br /> ConnecYlon by � __— Trunk S— <br /> Addresa �_��j�--- Leterel 5 --- <br /> _ y�yk� q ppp� -- Tolel Connedion Chxrpn 5_—_.___--- <br /> Phone ��4� _ Ulility Developmnnt Fee <br /> Lepa'^�ecriptlon: Weter E ___ _ <br /> Lot _ — Sewer E— - - <br /> gloCk _ __ — —_ Tolal Developmonl Fee S___---_--- <br /> plat _ - <br /> Unplatted Deectlpllor• Sewer Bond District _.�p�---- <br /> ---- AWitOnp Lot Line <br /> — --�-- N.S.E.W -- — fl. <br /> Type ol Peimit __yy��� _ Approced By. — <br /> RemarMn LID 710 __ IssuedBy d �+y+�l <br /> ! i� <br /> _ CuslomxrSigneture._ � ------ <br /> iMPORTANTI <br /> CALL 7-800-424-5555 48•HOURS - <br /> PRIOH TO DIGGING j ' � <br /> CALL 20d-8810 FOR INSPECTION �^apeabn By .{a��-- _ <br /> IDate Inepected _ ? `�1 <br /> I 3EE BKETCH ATTACHED No. ZB 6�� <br /> INSPFGTION <br />� ----- . - _ . _- --- � - --. . ._._-- - - <br />