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CHART N0. — <br /> everett � <br /> � <br /> City of Everett _ Y � �� `� � �� � ' ` TQ POSTIf�G APP � s zuob <br /> _ - �,� <br /> Sewer Applicatior� �d Permit _ � <br /> �, ., �, � �. � � a <br /> , <br /> ;.t �� w � � �. - .� u WJYS � � <br /> _� � :- �`• u --� �' u W� S � ' <br /> NO. 2 8 4 8 2 DATE oct. �21, 1991 <br /> Service Address ?731 Glenwood Ave Utiiity Account No. — <br /> Billing Address ir,nnn wi i i r.vo4 nlvd � ��— <br /> City, State, Zip Hi>> r�a k w* Qe�i� Permit Fee $ 30.00 <br /> Owner Rod r�icholasz Connection Charge <br /> Connection by ��= Trunk $ 330.00 _ <br /> Address Lateral $ 395.00 <br /> Total Connection Charge $ �25.on <br /> Phone 337-6G11 Utility Development Fee <br /> Legal Description: Water $ 261.00 <br /> Lot 3 Short piat 1202-22-8� Sewer $ 66L AO <br /> Block Totai Development Fee $ �ti�•oo <br /> Plat <br /> Unplatted Description: Sewer Bond District _ itr <br /> Abutting Lat Line <br /> N, S, E, W ft. <br /> Type of Permit New connaction Approved By <br /> Remarks Issued By ��- — <br /> Customer SignaWre <br /> IMPORTANT! <br /> CALL 1-800-424-5555 48-HOURS <br /> PRIOR TO DIGGING ' � <br /> Inspection By ��'� �— <br /> CALL 259-8810 FOR INSPECTION – <br /> Date Inspected � �L� � �'— <br /> SEE SKETCH ATTACHED NO. 28 4$Z <br /> wsr-�cTiorv <br />