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���y <br />A�x <br />❑ N <br />�xHtn <br />yzH <br />Ky � <br />yyH <br />��� <br />OH <br />��g <br />� V �] <br />t"y� <br />Ny <br />�pC7y <br />M�M <br />2HV� <br />H O fn <br />� <br />i <br />�� <br />_ _ <br />i <br />��� <br />� everett <br />�e� <br />� City of Everett <br />Sewpr AppliCation and Permit <br />NO. ZSZ�B DATE _t'ay 3s. lo�l_ <br />1) - 75th Rt s�, <br />Service Address -------- --- - - — <br />BillingAddreSS —1320C! 1]6th NE <br />City, State, Zip —r+z l4nd WA . 9P074 <br />Owner _ naln-LLcy3- <br />Connection by �� .�o..�..--.�o ��� Z <br />Address S� <br />PhOf18 _ n+i_n�a( — <br />Legal Description: <br />Lot _�^.o - — <br />Block — <br />Plat Ridaa Lan� — <br />Unplatted Doscription: <br />Type of Permit erew wood fz�ne eron�[cuet on <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 />CHART NO. ---- <br />T'' "!►STING �� 9 <br />Utility Account No. ---- - <br />Perm'I Fee $ ----.— 30.00 <br />Connection Charge <br />Trunk $ - <br />Lateral $ <br />Total Connection Charge $ '�� <br />Ulilily Develnpmont Fee <br />Water � , �r� ��,-,...:.T�!?Q--^�- <br />471 00 <br />Sewor i � S ,7..� <br />TotalDevalupmentFee "-''S +'"���0•rp <br />I'Il�i, �':..�a, <br />III.� . i��.'nl <br />I!II • i..�il' <br />Sewer Bond District — � � � — <br />19 N i!: <br />Abutling lot Line �; _�y �; ,i <br />N. S, E. W ��.��4.rt u.ir.� fl. <br />,�� qu���...� <br />ApprovedBy _���'�IIi: �i'�i,�r� <br />'�tMu�,,,; ,.. <br />Issued By �N �' * 03 � — <br />� r, � , . .�.u.�.� <br />Cus�omer Signature — ' . <br />.i /"__ <br />�.;f� <br />inspection By-� <br />� % <br />Dalolnspected — ` � � <br />�,;�i:�� � cTiota <br />No. 2824b <br />