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��� <br />everett <br />e <br />Clty of Everett <br />TO POSTING -��-yL <br />Sewer Application and Per�nit <br />N0. 2$ s% i DATE �rrii 6 1992 <br />Service Address 6002 BrookridRr B1vA_ <br />BIIIing Address 2» Piw St <br />CHART NO. <br />r��. u� . i. „i� ,x�n��� ,.��� , <br />� :li10[�::��tii <br />, ixn�� s�s.��� <br />�'I.Cl� i(U.Oq <br />t1f � It i`'Ip.110 <br />i: .'J,} il Sh.:iU <br />ih MNl(i,�()FI : 1 <br />Utiliry Accoun, Na. - _. <br />;l�nl�'M76 <br />[IFF 4,'�.n) <br />g � �° ba t.s�.no <br />-+i,�3�. .� . <br />City, State, Zip Y�er�et 1tA 98203 Permit Fee <br />Owner Sal�et 8oaet <br />Connedion by ��r sV"'�` L° E r c�.. <br />Address <br />Connectlon Charge <br />Trunk <br />Lateral <br />$ <br />$ <br />lotal Connection Charge $ <br />Phone 256-1503 Utility Development Fee <br />Legal Descdption: Water <br />Lot y� <br />81ock <br />Plat <br />Unplaned Descriptlun: <br />Type ol Permil nav conne�tion _ <br />Remarka <br />IMPORTANT! <br />CALL 1•800-424•5555 48•HOURS <br />PRIOR TO DIGI'aING <br />CALL 259-8810 FOR I�ISPECTION <br />SEE SKETCH ATTACHED <br />Sewer <br />Total Development fee <br />Sewer Bond District �ID <br />Abuuing LM Line <br />N, S, E, W _ <br />Approved By <br />Issued By Nughe� <br />Customer Sfgnature <br />$ 179 00 <br />InspectlonBy �^�betw�_ <br />Date Inspectetl ? -'' � ' S t <br />INSP[CTION <br />�� <br />�a�:: , ., <br />No. 28676 <br />R. <br />