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everett <br />� <br />= luR , <br />CIty of Ev � `; � ' �� =' � � � '' <br />erett • • - - • <br />� r �. r. . �, C, . _. y <br />e J � . a l L.; <br />Sewer ap�il�ca#ion;:aod-�Permit <br />�.�:�_. -:�_ <br />_ ��y,�K�-_ `='�;: - <br />�r�,� -� 4:����. <br />N0. � S� 1� � DA'rEf, a,.,,, R, , oe� <br />Sr.rvice Address _32 - L37lA pi Si <br />Billing Address Z1902 -�BtA Ihro p <br />City, S;ate, Zip ��r� K� gpp� <br />Owaer o.�.-�,..e �tneu _ <br />Connection by _�K <br />Address <br />Phone 356-2435 <br />Legal Description: <br />Lot g <br />Block <br />Plat u.rie�.� v ■�,. <br />Unplatled Descriptlon: <br />Type of Permit _ � �,.m�.y,�as <br />Remarks <br />IMPURTANTI <br />CALL 1-800-424-5555 48-HOURS <br />PRIOR TO DIGGING <br />CALL 259-8810 FOR INSPECTION <br />SEE SKETCH ATTACHED <br />Utility Account No. <br />CHART N0. <br />' I �=�i��l <br />Permit Fee $ �o oG <br />Connection Charge <br />?runk <br />Lateral <br />$ 330.00 <br />$ <br />Total Connectlon Charge $ _33o_nn <br />Utility Development Fee <br />Water <br />Sewer <br />Total Development Fee <br />$ 179 00 <br />$ 47i.99 <br />$ <br />Sewer Bond District �a ��� <br />Abutting L�t Line <br />N, S E, W <br />Approvecl Py <br />Issued By —_ ,T yno�inll <br />Customer Sldnature �— <br />It. <br />Inspection By /, � � _ <br />Date Inspected � _ <br />wsrr_crioN <br />No. 2t3310 <br />