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everett <br />� <br />� <br />� <br />.� <br />r� <br />� <br />City of Everett � <br />� <br />Sewer A�i <br />NO. <br />���sQ� � ���� <br />.:p � ": o p S; � � a <br />{Y UI l�l M f.l I(i <br />�O br � ,4 � yF .,� (j� � J <br />iP 1M1 -s� 1� aF <br />i��cati.�o �nd�,l�ermit <br />18�t�* p�—� ��° ��•.�,C"i <br />t3 �-� � � <br />` �`''����` �fai� 22, 1991 <br />DATE <br />Service Address 5721 ALS Flming St <br />Billing Address 3927 99th SB <br />Cfty, State, Zfp 1t�ar�tt WA 982aG <br />Owner P� 1olwson <br />Connection by �=�tad Canstruction <br />Address 28z0 Bbth St SE <br />B�erett NA 98205 <br />Phone � �37-4654 <br />Legal Description: <br />Lot Q <br />Block 4 <br />Plat �v'=ly llills Uiv 4 <br />Unplatted Description: <br />Type of Permit b�T+ coanection, duplez <br />Remarks <br />IMPORTANT! <br />CALL 1-800-424-5555 48-HOURS <br />PRIOR TO DIGGING <br />CALL 259-8870 FOR INSPE�CTION <br />SEE SKETCH ATTACHED <br />Utility Account No. <br />CHART NO. <br />TO Pn5T1NG G-z-�Z <br />Permit Fee $ <br />Connection Charge <br />Trunk <br />Lateral <br />Total Connection Charge <br />$ 270.98 <br />$ 45�.00 <br />g 720.OQ <br />Utility Development Fee <br />1Nater � 261.60 <br />Sewer $ �8•� <br />Total Development Fee $ ��9' � <br />Sewer Bond District � BO� II <br />Abutting Lot Line <br />N, S, E; W� <br />Approved By <br />75 ft <br />Issued By �=garet McLeod <br />Customer Sfgnature - %�' j / �� <br />l � //" <br />Inspection By ��'�`'��'� <br />Date Inspected G^/ � S z— <br />INSPCCTION <br />NO. ZH1S8 <br />ft. <br />