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��� <br />�nxs <br />LF H t/1 <br />� <br />oxo <br />^U H'i1 <br />yH <br />� O� <br />H7 <br />O i-+ <br />��8 <br />n • c� <br />t-� y � <br />HH <br />N <br />gdCy <br />�t�1r <br />yN <br />H O tn <br />I CHART N0. — i <br />! everett �' � <br />I <br />'i e T� �osTiNc ; - , -�_�___�_ <br />I Ciry of Everett I <br />I <br />� Sewer Application and � �� mit �' <br />No. 2 8 3 9 4 DATE __ a:�yusc-�.- L�u _ - --.--�<--- , . , „ . . . <br />Service Address - ._2�6-�-�-ldtb �SL-Su � -- - � - ------ Utility Account No. �' Ntl " ' � - <br />� � ,,�. ��:,;�.�r� <br />Billing Address .---i71S�-91sd--�vw--CB-------- ' � � �� .I�'� <br />_i i i� �.fl.11l ; <br />City, Slate, Zip -�}�e�sl+-r-Nlr--9B299--- --- Permit Fee 5._ 1p.pp �:..:,�� - <br />l.i,� r,�,�,p . <br />Owner -�A�i �� "���^ih-.-------__ Connection Charge ; ;,i , ��.i�i i <br />.,�.�n � ..�. �, <br />,,n_.!ri <br />Connectionby __-_-____.._____— - Trunk ,_ i�� � <br />Address - Laleral ;'�:,' <br />;�ali' .;�� <br />____. Total Connection ChargB� !n S - �-� <br />— ��,,il �i�r.'r. <br />Phone __ _ Utility DovelapmeM Fea <br />Leqal Description: Water 5 __ .119.D�----- <br />L�l �_--.------ _. -. . . - -- . Sewor $ - 94iXII➢.-_d71.00 <br />Bbck _ _-- --- - Total Development Feo $ _ -�SII.➢1----- <br />Plat �hi�ld Cnat - - <br />Unplatled Description: _ __ _. Sewer Bond Districl - <br />Type of Permit i�w rnr+1�'criht_ - <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 ATTACHED <br />______ Abuttinc� Lot Line <br />---. N, S. E, W -- <br />___ Approvod By —_ <br />__ IssuedBy.__�-� <br />Cuslomcr SignaWrc <br />� <br />Inspeclion �y r_-� <br />Dalo inspected _- <br />.., i, � - <br />.� -i�. ., � <br />No.2839A <br />� <br />