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everett <br />City of Everett <br />Sewer Applicat�c�n a�nd Permit <br />No.28352 nare ,_,R_„ <br />Servk�Address �ean r w.� o� �� UtilityAccountNo. <br />Bilflng Address �� � �'in� die.v it� <br />CftY, State� Zip swr�tt No► 9eto1 <br />s�:c nae <br />Owner <br />Connection by �+�� otilitiN <br />Address � � 1691 <br />_ KoedlMll� 1p 9ep�2_1691 <br />Phone �et-!]12 <br />Legal Description: <br />Lot <br />Bbck <br />Plat _ <br />Unplatted Description: <br />CHART N0. <br />Se�� f� ��,�,.� <br />$�ad�q� <br />u;i�aivi tt:�ear, ot�an�t� :��:;: <br />� <br />Hf�UJU.28'.,J.: <br />s�� �--to.00 <br />k'4�6f' --i=� 9E1 <br />Permit Fee $ �e_� <br />Connectfon Charge <br />Trunk <br />Lateral <br />$ <br />$ <br />Total Connaction Charge $ <br />Utility Development Fee <br />Water g <br />Sewer g <br />Total Development Fee $ <br />5ewer Bond District <br />Abuttfng Lot Llne <br />N, S, E, W <br />ft <br />Type of Permit � <br />Approved By <br />Remarks !� 00�0!) issued By /"� <br />Pr'a►1M tMt ar�a !os indu�lrial pre-te+�atMnt !' <br />Customer Sfgnature � " � <br />aet !n nN. <br />IMPORTANT! <br />CALL 1-500-424-5555 48-HOURS <br />PRIOR TO DIGGING <br />CALL 259-8810 FOR INSPECTION <br />SEE SKETCH A7TACHED <br />� <br />Inspection By X ""`� —� <br />Date Inspected <br />INSPECTION <br />� �� - <br />No.28352 <br />