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everett <br />/ <br />City of Everett <br />6 <br />TO �'O��sii'(i �_1- <br />Sewer Application and Permil <br />No. 28336 DATE _.A,..- o, ls9i - <br />Se�vice P,ddress —14 +++•• ■ R� Utility Account No. <br />BIIIIngAddrers —�7O^� - �ei+. A�` r <br />City, State, Zip �� v �a^16 Permit Fee $ 30 00 <br />Owner _� <br />Connection by <br />Address <br />Phone �.ri .356a��+s <br />Lepal Descriptlon: <br />Lot � <br />Block <br />Plat �ridi�e Pl. <br />Unplatled Description: <br />Type ot Permlt �rzrr cYrmmer_rrrn. <br />Remarke <br />IMPORTANTI <br />CALL 1-800-424-5555 48-HOURS <br />PRIOR TO DIGGING <br />CALL 259-8810 FOR INSPECTION <br />SEE SKE'fCH ATTACHED <br />Connectlon Charge <br />Trunk <br />Lateral <br />$ —i39,A.. - <br />$ <br />Totul Connection Charge $ ++e oe <br />Utility Development Fee <br />Wflter <br />Sewer <br />Tot�l Development Fee <br />Sewer Bond Dlstrict _ •t� <br />Aburiing Lot Line <br />N,S,E,W -- <br />$ 179.00 <br />$ <br />Approved By <br />Issued By __�,� <br />Customer Signatu �" ' � a� <br />n. <br />�� ��1 I <br />� <br />Inspection By �1 "�Q'�"� �'' �"� � � <br />Date Inspected L -��� 7� I <br />INSPFCTION <br />No. 28336 <br />