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CCH <br />�H[n <br />H HH <br />K C] <br />Ox0 <br />NH H itH <br />x <br />OH <br />zHT <br />Hz <br />�HH <br />H <br />�M <br />O LA <br />C� <br />everett <br />le <br />Fl I TING _�- h <br />TO f 5 �� .�-`L— n <br />City of Everett - 3 <br />Sewer Application and Permit <br />No. 28382 DATE Av, u:;r 13, 1991 <br />Service Address _ 4723 Sealmrat Ave <br />Billing Address —_ 1401 r•lby <br />City, State, Zip veratt I'l—i241 <br />Owner uay„ n•.m+e ;k <br />Connection by <br />Address <br />Phone <br />Legal Description: <br />Lot <br />Block <br />Plat <br />Unplatted Description <br />SP <br />Type of Permit Lew conaertl.ou <br />Remarks <br />WPORTANTI <br />CALL 1-800-421-5555 48-HOURS <br />PRIOR TO DIGGING <br />CALL 259-8810 FOR INSPECTION <br />SEE SKETCH ATTACHED <br />Utility Account No. <br />Permit Fee $ <br />CHART NO <br />Connection Charge <br />Trunk <br />Lateral <br />Total Connection Charge <br />Utility Development Fee <br />Water <br />Sewer <br />Total Developmem Fee <br />Sewer Bond District <br />Abutting Lot Line <br />N, S, E, W _ <br />Approved By <br />Issued By <br />Customer Signalwe <br />$ 270.G0 <br />$ 450.00 <br />$ _ 720.0u <br />$ 2?t._of, <br />Inspection By <br />Date Inspected Sz— <br />INSPECTION <br />No.28382 <br />ft. <br />Inspection By <br />Date Inspected Sz— <br />INSPECTION <br />No.28382 <br />ft. <br />