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Ieverett CHART NO. <br /> i � <br /> I <br /> ��� TO P05T►NG �����s-°�, <br /> A,�x City of Everett ' <br /> � H <br /> ayv� <br /> K �� ; Sewer Application and F�ermit TO POSTING �< <; � ; <br /> H� i <br /> y z� � NO. 2�24`L DATE rebruary 2�, 1?�1 I <br /> � ryid � ServiceAddress ���1 ��Ci: Lz S� I <br /> � �t� litility Account No. � <br /> ��c�i BillingAddiess 1974 N 34t1� St � <br /> Seattle �:,. 2-;;yyi yo1C3 30.U0 <br /> � '~-]z City, State, Zip Permit Fee ^� <br /> t� <br /> gN y Owner Geonurco <br /> �U I Connection Charge <br /> r,� r�r I Connection by Trunk <br /> �+7 t�1 $ <br /> y o� i Address Lateral $ I <br /> I -- To!al Connection Charge $ � <br /> Phone �47-:i213 � i _ .�-rn ��, ��. . .. . <br /> I <br /> I Utility Development Fee � � <br /> ILegal Description: Water "'�� ' : � 174.00 � <br /> i; ; .$ ,-F. � <br /> (�.. Lot -- _ ; ; : � �„�_, I <br /> "�� Sewer •'� °' 471.00 <br /> �s�, n; i �; .� i_�.:.�:: i <br /> Block Total Development Fee' �''$ � � `'� C�Sn,�;`� � <br /> '+e .o I Plat �ulLric IV "� .• ' ', — <br /> � �:r,t�.;' ' <br /> �� UnpiatledDescription: "'''��� �� ' •�'�� <br /> Sewer Bond District "�+�-��� _ <br /> AbuttingLotline ����"F ' ���'�`� <br /> i.� fi'ii-'i ,�. :�. ,. <br /> N 5 E W — � lu�..� ti.� .�,i'� <br /> I � <br /> �p o Type ofPermit 3ev connec[ton Approved By_. <br /> Remarks Issued By +t:irperr.c :IcLcod _ I <br /> ..,,: „� Customer Signature I <br /> IMPORTANT! � <br /> �— ..� <br /> "� CALL 7-800-424-5555 48-HOURS � <br /> PRIOR TO DIGGING , . I <br /> . CALL 259-8810 FGi{ INSPECTION Inspection By -/ � � %_ I <br /> � <br /> I Date Inspecled _�_���� i <br /> I <br /> SEE SKETCH ATfACHED No ��R,1[�� i <br /> � iras��c1 io�� j <br /> ; <br />