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��� <br /> o�x <br /> C N <br /> � H [n <br /> H�� <br /> ►C C: <br /> oHx <br /> '�tl �� <br /> Hy <br /> �� <br /> � o CHART NO. <br /> � �� everett � <br /> c�� o I <br /> zy� <br /> gz <br /> yy � � � � � �; �, � :� � ., TO POSTINf_��zz/� z <br /> 0 o cMn City of Everett ; -� ,; ,� _ � x' = =, �.' :� <br /> ��� .� � .. p u tl, y� :" .� �� <br /> •1 .M1 ^. �. <br /> y �N Sewer App�ivaiio�__ar�d �Pe.r.m it <br /> � �. - . � y � ` �. ;= <br /> r�'�'� '—. G: t_ �' � 4�� � . .,rL-' Gi C, v4 <br /> J IJ i �' � ys ,.? :.Y . <br /> NO. 2$J�B� J DATE� x 4 1/3t/92 � � <br /> Service Address 6U13 !iaridian Avc Utility Account No. <br /> Billing Address - - " �n'^ "^*,• °+� <br /> City,Stale, Zip �,y�u�,S�o_p� Perm:t Fee $ zp � <br /> Owner Hanabrook Inc Connection Char�e <br /> Connection by Trurk $— <br /> � 1 Address Lateral $ <br /> ��� Totai Connection Charge $ <br /> '�' Phone _ Utility Developmenl Fee <br /> ��' Legal Description: Water $ ne nn � <br /> ' Lot 31 Sewer $ <br /> ' Biock Total Deveiopment Fee $ 179.OU <br /> '�' Plat _ i <br /> � ' Unplatted Description: — Sewer Eiond Dislricl uLtn I <br /> � <br /> '�' _ Abutting!.ot Line <br /> ' ' N� S, E,W (t. ; <br /> � <br /> i <br /> Type�f Permit `�a�+ �onnec[ton Approved By i <br /> '�; Remarks Issued By �B <br /> Customer Signature <br /> IMPORTANT! <br /> CALL 1-800-424-5555 48-HOURS <br /> PRIOR TO DIGGING <br /> Inspection By �^�!P�""`— i <br /> CALL 259-8810 FOR INSPECTION <br /> Date Inspected � 'S- % z <br /> SEE SKETCH ATTACHED NO. L p 5 a� <br /> INSPECTION <br />