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! <br /> � <br /> i <br /> CHART NO. <br /> everett to �o5t.n9 <br /> _ 9 - i$-�i <br /> <� <br /> � <br /> F� <br /> - =, :` a � <br /> , <br /> City of Everett �_ "-� �= =� <br /> r, <br /> •' w a: <br /> Sewer Application and Per-rr��t, � �; . . <br /> .1 � � ., .� - � <br /> _ _ �_ .,i <br /> ' _d �j{ ?+ � <br /> `ry yd <br /> NO. 2 g()6 Q� DATE Januazy 2, 1991 _ <br /> E <br /> Sen�ice Address 11324 .26th� SE Utility Account No. <br /> Billing Address °d� <br /> City, State, Zip Sverett 98208 _ _ Permit Fee $ 30.00 <br /> Owner tla�� T �} * H r� * �t '*"�, _ Connaction Charge <br /> Connection by ocnera Trunk $ 330.00 <br /> Address _ Lateral $ — — <br /> Total Connection Charge $ 330.00 <br /> Phone Utility Development Fee <br /> Legal Description: Water $ <br /> Lot Sewer $ 4UO.OG <br /> Block Total Development Fee $ 400.00 <br /> Plat <br /> Unplatted Description: Sewer Bond District �ud III <br /> Aburiing Lot Line <br /> N S E W �inimuw ft. <br /> Typ�of Permit t.ev o»eecio� �MIIB on aerticL Approved By <br /> Remarks _ fssued By 'lergaret !!cLeod <br /> � ( <br /> Customer Signature _ I � � ' '� <br /> 1 <br /> IMPORTANT! , <br /> CALL 1-800-424-5555 48-HOURS <br /> PRI�R TO DIGGING " � � <br /> CALL 259•8810 FOR INSPECTION Inspection Dy � <br /> Date Inspected <br /> SEE SKETCH ATTACHED NO. Z$O�O ( <br /> INSPECTION I <br /> I <br /> I <br /> I <br /> I <br />