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a. ;., ~-, � CHART NO. <br /> Ieverett _._ <br /> � ��y ro <br /> b��tl m <br /> � � H �a ���T��c_y; , , �� <br /> City of Everett <br /> � <br /> � � � Sewer Applica�ian arid Permit <br /> ro � <br /> M � � I <br /> � • R I N0. Z 8.�`'� DATE Tie 3 i�9t <br /> H <br /> � y � Service Address 1712 Fdacroor Lano ___ Utiliry Account No. <br /> � H <br /> °c y Billing Address <br /> tv ro � 30.00 <br /> � u��. Ciry, State,Zip �attle Hn 9E177 Permit Fee $ <br /> Owner nlaan R. Reitman Connection Charge <br /> Connection by sav,e _ Trunk $ <br /> Address - Lateral � <br /> _ Tolal Connection Charge $ -� <br /> Phone Sa6-3ol0 _ Utility Development Fee <br /> Legal Descriplion: <br /> Water u:. a,$�T—:-..224 �.0...�.. . . <br /> __ 37 Sewe� ;,i,�ip$.,,.>,.o <br /> / LOt _ ., 22 00 <br /> � �� Total Development Fee�y E;�$ f i tq.� <br /> Biock <br /> il Edqecoor flQighta n1iCi1 >1',U.UiI <br /> Plat I'Y.hl •,H d?.lU <br /> �� r ir�i (m.�n.Al) <br /> 1� Unplatled Description: Sewer Bond District <br /> 1�''R!'7 2•.^.Q.�)[1 <br /> Abutting Lot Line ;iu�Jt�l7'�4 <br /> M�11LR 4105.00 h. <br /> N,S� E,W ,�, u. _ <br /> � �� -1t![R 3;O.C� <br /> Type oi Permit ���w �nnection Approved By � . _ , �.,_y,�d <br /> Issued By <br /> M�eaiai l:f3tsaod':I'�„j 4.;i i <br /> �'�� Remarks <br /> '��� Customer Signature <br /> IMPORTANT! <br /> '' 1 ( . CALL 1-600-424-5555 48-HOURS <br /> ! PRIOR TO DIGGING <br /> �='-� Inspection By � � '�' <br /> CALL 259-SB10 FOR INSPECTION Date Inspected /Z-'� <br /> SEE SKETCH ATTACHED NO. 28�03 <br /> u�!s�ECTior� <br />