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� everett <br />x 1 <br />�T <br />R <br />Z �. .� ~ <br />City oi Evere.t �; � �, .� - ,: � <br />. ... .e i i <br />a � <br />Sewer Application ar+d PE►tmit_ _ � <br />� � T� <br />�: �����:� � <br />I NQ. 28254 DATE �p 9 1991 <br />CHART NO. <br />POSTING � � 2� <br />oervice Address -- 505 ie�rd vl tE Utiliry Account No. - <br />BIIIIngAcfdrees i•�. �^+x 592 <br />Clty, State, Zip � Suw^� •�► 987Se permit Fee $ <br />Owner t�1+r s�itb Connection Charge <br />Connection by Trunk <br />Address Lateral <br />Phone _ <br />Legel Descrlption: <br />Lot <br />Block <br />653-2025 <br />Plat Oliw 1►eM <br />Unplatted Descrlption: <br />Type of Permlt 11nr Qmeuctf.on <br />Remarks LtD T]0 <br />IMpOHTANTI <br />CALL 1-800-424-5555 48-HOUAS <br />PRIOR TO DIGGING <br />CALL 259-8810 FOR INSPECTION <br />SEE SKETCH A7TACHED <br />a <br />To�el Connection Charge $ 710.00 <br />Utllity Development Fee <br />Water <br />Sewer <br />Total Development Fee <br />a �ge_nn _ <br />Sewe� Bond Dlstrict �+d III <br />Abutling Lot Line <br />N, S, E <br />Approvodl <br />Issued By <br />Customer <br />Inspection By "� � ` E�/" "`— <br />Date Inapected � ' � � ' Z <br />WSPECTION <br />No. 28254 <br />