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evereti <br />Cfty of Everett <br />Sewer Applica <br />No.286�1? <br />:' <br />� <br />- �8 <br />tion and`��ermit <br />�:: _ <br />DATE "Fgb•41z• 1992 <br />Service Address z23� xoyc Ave <br />Billing Address <br />19630 40th Ave W. Suite R <br />City, State, Zip Lynnvood YA 48036 <br />Owner Rick Scrausa <br />Connection by �Ter <br />Address <br />Phone 7�4=9099 <br />Legal Description: <br />Lot <br />Block <br />Plat <br />Unplatted Description: <br />Type of Permit �eP�ir _ <br />Remarks <br />IMPOFiTANT! <br />CALL 1-800-424-5555 48-NOU'�:� <br />PRIOR TG DIGGING <br />CALL 259-8810 P'OR INSPECTION <br />5EE SKETCIi ATTACHED <br />Utility Account No. <br />CHART NO. <br />TO P(1�TING_ a� 9 z <br />Permit Fee $ 10.00 <br />Connection Charge <br />Trunk <br />Lateral <br />Total Connection Charge <br />Utility Development Fee <br />Water <br />Sewer <br />Total Development Fee <br />E� <br />$ <br />$ <br />$ <br />Sewer Bond District _ <br />Abutting Lot Line <br />N, S, E, W �' <br />Approved By <br />Issued By xu hes __ <br />Customer Signature � <br />Inspection By ���` <br />Date Inspected a "�y -f �` <br />I! 1;;PFCTIO� � <br />No. 28607 <br />