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everett <br />City of Everett <br />Sewer A�plccation a�d Per�m�'�„_ <br />� � � L: <br />� Ci . � <br />No. 28598 DATE 7__5_g2 J���J <br />Service Address 6925 Lover Ridge Rd <br />Billing Address P� Ror. 2577 <br />City, State, Zip Lynncmod HA 98036 _ <br />Owner _ Hon�snrood Developraent <br />Connection by <br />Address . <br />Phone 776-2634 <br />Legal Description: <br />Lot <br />Block <br />Plat <br />Unplatted Description: <br />Type oi Permit Alterat3on <br />Remarks <br />IMP7RTANT! <br />CALL 1-800-424-5555 48-HOURS <br />PRIOR TO DIGGING <br />CALL 259-8810 FOR INSPECTION <br />SEE SKETCH ATiACHED <br />�_yART N0. <br />POSTINr, _3�L��sz <br />Utility Account Na. — <br />Permit Fee $ �u <br />Connection Charge <br />Trunk <br />Lateral <br />Total Connection Charge <br />Utility Cevelopment Fee <br />Water <br />Sewer <br />Totai Development Fee <br />$ <br />$ <br />$ <br />$ <br />$ <br />$ <br />Sewer Bond District <br />Rbutting Lot Line <br />N, S, E, W h. <br />Approved By <br />Issued By ���hPp <br />Customer Signature <br />/ <br />Inspection By �� <br />Date Inspected 3-1.�-s� _ <br />INSPECTlON <br />No. 2$5�8 <br />