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l- <br />I everett <br />city of Everen <br />� <br />� <br />� <br />Sewer Application anc�.P� <br />� <br />NO. Z S 5� S DATE °ot� �8� <br />Service Address 2921 l�e�r�l 11w <br />Bflifnp Address �052 <2aQ 11w M. <br />CRY, Stete� Zip lwtW IY1 98199 <br />Owner Hmt.�s L�ets <br />Conneccion by � ��1as <br />Address �7 �� ��. i204 <br />S�att1� 10► 9e101 <br />Phone 623-300i <br />Lepal DescxipHon: <br />Lot <br />Blodt <br />Plat <br />Unplatted Description: <br />Utility Account No. <br />CHART NO. <br />TO POSTING 6 a `� <br />��-� �$�r� <br />r � o ro aiQpp <br />N � `rOy�ap�1 <br />� M N M <br />��Y�� ��� <br />�����a�t���s <br />Permit Fee $ �0.00 <br />Connection Charge <br />Trunk a <br />Lateral $ <br />Total Connection Charge $ <br />UHlity Development Fee <br />Water 27.Ss <br />Sewer 72.Ss <br />Total Development Fee <br />Sewer Bond Distdct <br />$ 383.35 <br />$ 1010.65 <br />$ 1391.00 <br />Abutting Lot Line <br />N, S, E, W ' g, <br />Type of Permit 11w oou�atios Approved By �O°� <br />Remarks ocilie. fr. a esic. � sa�a �. �mditlssued By � <br />fos 7 il�'• (3 z 6501. �;3u{ � �� <br />-�� � �� Customer Signature <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 />Inspection B��—'c�/��� <br />Date Inspected b�� � <br />INSPECTION <br />No. 28515 <br />