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� y <br /> ��� . <br /> ti Hp�!N <br /> Hx� <br /> � H� CHART NO. — <br /> ��� evere�t <br /> ��� � _' �,t t�; ���c�y � -.� } �-� <br />, o� � - TO POSTI NG �� � � <br /> ��g . _ ;� � � =� Y _ � a <br /> z H� City of Everett �-! �- � � ., J L =' - . <br /> ay :" 3 r . `:. . w " <br /> 1 : !. <br /> �yy Sewe� ��plication and -�RErm�it_ �� .. � :; _ <br /> � ;�j n � � .*Y '-� ' -' r � <br /> J � J u L, � ` J '�'I <br /> ��� NO. ?H23�. DATE 1J j � <br />� Service Address � �` Utility Account No. <br /> , _. <br /> Biiting Address <br /> ICity, State,Zip Permit Fee $ _ � <br /> Owner — — Connection Charge <br /> � Connection by Trunk $ <br /> Address Lateral $— � <br /> Total Connection Charge $ <br /> f ' ' Phone Utility Deveiopment Fee <br />,� Water $ � ` <br />,, <br /> ��/ Legal Description: <br />;' '�1 Sewer $ <br /> Lot <br />( ��' Block Total Development Fee $ ' � <br /> I ' Plat � <br /> I' <br /> ' Unpiatted Description: Sewer Bond District <br /> I <br /> 4 '-' Abutting Lot Line <br /> ' N,S� E�W ft. <br />' � Type of Permit Approved By <br />� j Remarks Issued By_ <br /> Cuslomer Sigoature_ ' <br /> I ;�' IMPORTANT! <br /> a <br /> CALL 1-800-424-5555 48-HCWRS <br />' PRIOR TO DIGGING /. i' ' - <br /> ` �� <br /> Inspection By �'� <br /> CALL 259-8810 FOR INSPECTION � <br /> Cate Inspected � <br /> SEE SKETCH ATTACHED No. 28131 <br />' irvsP�cTior, <br />