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1 �� <br />��� <br />� everett <br />i <br />� <br />City of Everett <br />/c ���s�,� <br />� Sewer Application and P�rmit <br />N0. 2HZHO DATE ,r�i._ i�,. ��+�+i <br />' Service Address ---�'_ 75t _� St Sb_ _ -- <br />Billing Address ' 1� r, :. t� nv� <br />City, State, Zip —�,., ..0 io c. ar;nr.--- <br />Owner _---1:wtaYmu--C.caat-]..^ -- <br />, �- <br />Connectionby ___m....- ��'�`^ <br />Address �-- — - <br />' Phone ___3�y4E2__. ___ .. <br />I Legal Descriptlon: <br />', Lot 9 — -- <br />Block - <br />Plal •"SWia l"n • - - <br />i <br />' Unplatled Descdation: <br />Type o� Permi� �,� ,., �..��r �.» __ <br />Romarks -- __ — - <br />IMPORTANT! <br />CAL1.1-800-424-5555 48-HOURS <br />PRIOR TO DIGGING <br />CALL 259-8810 FOR INSPECTION <br />SEE SKETCH ATTACHED <br />Utility Account No. <br />C�TI:1�i.N� <br />I O�i b� 4 � <br />Permil Fee $ __ � u� <br />Connection Chargc <br />Trunk $ — <br />Lateral $ -- <br />Total Connedion Charge $ -�- . <br />Utility Development Fee <br />Water S _ .}Zyr,r,d�—_ <br />Sewer $ — 671- �L' <br />Total DevelopmeM Fee $ 6$O.n�� <br />Sewer F3ond Dis�rict Aacd I(retired) ! <br />Abutting Lol Line � <br />N, S, E. W----- ft. <br />II <br />Approved By —_- ; <br />ISSUBd By __..__— Percnrc� :arL�od j, <br />I <br />u;tomer SlgnaWrc _ ' <br />�' - --- ------------ <br />i. <br />i <br />� <br />Inspsclion 6y .��1 l � C <br />Datolnspected s �� �� <br />i�.. ,�.�r �� <br />NO. Z�!_�i� I <br />