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everett �� <br />� <br />� <br />� <br />� <br />Gity of Everett � <br />� <br />Sewer A; <br />NO. �$ <br />'et1 ��.... ((-l�-`"� <br />g s;, �a g r, � � � � <br />+:, , z =i - _ - - <br />µ .... � r .� �. �. �' � � <br />�I�i�a���n���nd Permit <br />� , µ ^ ^ r M 1 � ^ , <br />��^[� � �� 1 i} �_. y <br />I�W �e , ? .� - " i <br />DATE �;�_ <br />Service Address �0 - }}�t�� �! 98 <br />Bllling Address - <br />City, State, Zip � <br />Owner <br />Connectlon by _ <br />Addre4s <br />Utility Account No. <br />Pe�mit Fee $ 3�� <br />C�nnection Charge <br />Trink <br />Lateral <br />— Tatnl Connectiiin Charge <br />Phone J38-1486 Utflity Development �ee <br />Legal Uescrfption: Water <br />Lot pq — Sewer <br />Block _ Total Development Fee <br />Plel _ u..�,�t... et <br />Unplatted Descnption: — Sewar 8ond District <br />Type ol Permit <br />Remarks _ <br />IMPORTANT! <br />CALL 1-800-424-5555 48-HOURS <br />PRIOR TO DIGGING <br />CALL 259-8810 FOR INSPECTION <br />SEE SKETCH AT7ACHED <br />Abutting Lot Line <br />N, S, E, W R. <br />Approved By <br />Issued f3y J Aos7�wii — — <br />Customer Signature <br />InspectionBy ����'`� <br />Date Inspected 5�/� �P� <br />irasi�ecTioN <br />No.28242 <br />