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I everett <br />i <br />City oi Everett <br />Sewer Application and Perm�t <br />NO. 7 S�� 1 DATE �-1n-91 <br />Service Address 62] lo�td rl et , <br />Bllling Address 627 101Eh Pl eE <br />Clty, S�a�e, Zip ��tt NA 992�A <br />Owner �char+! �. Nilkis <br />Connectlon by orn�r <br />Address <br />Phone 75S-9061 __ <br />Legel Descrlptlon: <br />Lot 2 — <br />81ock ��� �"�o <br />Plat _�aoi■ p1.r � <br />Unplatted Descriptlon: <br />Type of Permit NR+1 crnaacrien _ <br />Remarks tm 7ln _ <br />IMPORTANTI <br />CALL 1-800-424-5555 48-HOURS <br />PRIOR TO DIGGING <br />CALL 259•8810 FOR INSPECTIAN <br />SEE SKETCH ATfACHED <br />UNlity Account No. <br />i <br />CHART NO. <br />Sz„-f iv �os�„i.y <br />7 - z.6 -4� <br />u; ii7 ,.; i�u�, i:r� �n.����• . <br />urxw:�i �a � <br />��arF su�.�y� <br />f1117'Y 4 t0. n <br />Permit Fee $ »•�� <br />Connectlon Charge <br />Trunk <br />Laleral <br />Total Connection Charge <br />Ulility Development Fee <br />Water <br />sewer <br />Total Development Fee <br />Sewer Bond Diqtrict <br />Abutting Lot Line <br />P!, S, E, W — <br />Approved By <br />Issued By — <br />Customer Signature <br />a <br />$ <br />a <br />$ <br />a <br />a <br />ft. <br />InspecUr,n By �(�-��.�e�_��C.� <br />De!e Inspected _ �� � 9� <br />No.2$34� <br />