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I <br /> I <br /> CHART N0. <br /> Dro <br /> p � � Lvcrcit <br /> Y H N <br /> tM Y <br /> H "LS H <br /> O G O <br /> 'c H 'V <br /> MH City of Everett <br /> Sewer Application and Permit <br /> No. 27914 DATE _�Ptomeer-b;3990 <br /> y� Utility Account No.Service Address ��n Dict-Dl--sa-- — <br /> H O N <br /> Billing Address , <br /> City, State,Zip _. Permit Fee $ _ <br /> Owner — T, Connection Charge <br /> Connection by Trunk $ --- <br /> Address Lateral $ _ <br /> Total Connection Charge $ <br /> Phone Utility Development Fee <br /> -' <br /> Water $ •7a no <br /> Legal Description: <br /> Lot Sewer $ <br /> 1 — N,�1 911ee:�4:kM 00@1N35".i tftS <br /> Block Rift"00d T°rraa� Total Development Fed <br /> DO Mlollz-�m1 <br /> Plat _ 1111X1 f'rIS.50 <br /> Unplatted Description: <br /> Sewer Bond District If 14' f)tl <br /> _ – tqq{ •dO.W <br /> Abutting Lot Line FLtI III 44J.EM1 <br /> P 'ti71 14.50 ft. <br /> N,S. E,W <br /> OtMkM1d907 <br /> Approved By <br /> Type of Permit &w-oo=QCLLo[, — <br /> _1t <br /> Issued By ;Ir'ft7(9141 <br /> Remarks --- b-.MY 130.(111 <br /> t Customer Signature � t 111 1 JXI -- <br /> 't�� — 11715 IM-00 <br /> IMPORTANTI LIJM• 41617.00 <br /> CALL 1-800-424-5555 48-HOURS <br /> P^IOR TO DIGGING <br /> Inspection By <br /> CALL 259-8810 FOR INSPECTION Date Inspected 1-,2 - 9 I <br /> SEE SKETCH ATTACHED No. 27914 <br /> INSPECTION <br />