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CHART NO. <br />ev�rr_tt <br />� - <br />� '�: <br />Clty oi Everett '� �' � � �3 �' <br />,-• � �. <br />, � : 'i <br />� « .. <br />Sewer Application ��Y�! ;��xr�iit <br />J � �_ <br />i- <br />- �����=�: <br />N0. 284E;Z DATE '��• 1�, 1991 ___ <br />Servlce Address <br />dllling Address <br />City, Ste�o, Zip . <br />Owner _.- <br />Connectlon by <br />Addresa <br />Pl�one <br />10] ll]th St SE <br />8914 56W P1 Neat <br />Muk!)ltw M71 98275 <br />pn�rno Seiith <br />?5]-6606 <br />Legal Description: <br />Lot _.--�- �� — - <br />P.lock _ <br />rlet . ' v�/ ��, <br />, �Tifittt�e=� <br />Unplatted Description: _ _. <br />Type ol Permit _������o _ <br />Hemarks _ <br />IMPORTANTI <br />CALL 1-800-424-5555 48-HQURS <br />PRIOR TO �iGGING <br />CALL 259•8810 FOR INSPECTION <br />SEE SKETCH ATTACHED <br />Utility Account No. <br />Perm�t Fee $ _ <br />Connection Charge <br />Trunk <br />Lateral <br />�0 POSTING �o � q <br />Totaf Connection Charge <br />l4ility Development Fee <br />Water <br />Sewsr <br />Total Deveiopment Fee <br />]0.00 <br />a 3�0.00 <br />$ �� <br />a �30.00 <br />g 761.00 __ <br />$ �nn_^p ,-- <br />$ 919.00 <br />Sew•er Bond District <br />Abutt(ng Lot Line <br />N, S, E, W __ — <br />Approved By _ � �r°°k� <br />II2 <br />R. <br />Issuod By M K'��� � <br />� ' <br />Customer.`.;igna��ire - '� <br />/' /� I <br />� ' I <br />Inspection By S_.G�������c'��,r "� <br />v IDate Inspected �� __«_ <br />R�s�r�CTIC�N <br />NU. Z��NSZ <br />u <br />