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0 <br />everett <br />City of EvereB <br />;? <br />;� <br />�.; <br />:� <br />>_� <br />� ����g � �� <br />if�. G'� Y� O.�. C. r. <br />. ai .� • � w• <br />y � M M i .y W <br />W <br />Sew�r Application ar�d P�r�i� �� <br />f ���-������= <br />�,1 JyJ 4. r. �- �. ;� <br />t�C� L:.� �. 3 �4 � <br />NO. 2 8 5? 5 DATE � tw.. ». 1991 <br />Service Address 5�02 11�e�e� ah Utiliry Account No. <br />BillfngAddress �p�� ��y �.. . <br />Ci�y, State, Zip _��.� o e82� <br />Owner —�,�r �p <br />Connection by o.C, ar�ae�ele _ <br />Address �[x� 5307 1�9ch 11w Ss <br />■�..w..���w va 98290 — <br />Phone ii• Y�{� _ <br />Legal Descriptlon: <br />LOt �c <br />8{odc � ot Iausrl H�lahls <br />PIBt <br />Unplatted Description: _ <br />Permit Fee $ <br />Connectfon Charge <br />Trunk <br />Lateral <br />CHART NO. <br />?(1 POSTING / 9, <br />a <br />$ <br />]0.00 <br />Total Connection Charge $ -- <br />�Jtility Development Fee <br />Water $ 22t.00 <br />Sewer <br />Total Develapment Fee <br />$ 589.00 <br />813.00 <br />a� <br />Sewer Bond District � _ ����) <br />Abutting Lot Line <br />N, S, E, W <br />Type of Pemiit Mrr ������ Approved By <br />Remarks <br />IMPORTANT! <br />CALL 1-800-424-5555 48-HOURS <br />PRIOR TO DIGGING <br />CALL 259-8810 FOR INSPECTION <br />SEE SKETCH ATTACHED <br />Issued By g��� <br />Customer Signature -� � ' � �' i <br />Inspection By _L2k'Le%'"''"— <br />Date Inspected <br />INSPECTIO�� <br />2-/z�9i <br />No. 28525 <br />ft. <br />