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_ _ � <br /> � � y ; <br /> C" H C/1 . . , �� <br /> H �� <br /> �N� _ _ CHART NO. I ; <br /> y everetk ,- <br /> � �� I � � ., rnSTING �� � <br /> o � � _: ;� <br /> ��g _. � � � � � �, :, : �.. - � <br /> �y� City of Everett = ` - � � � ,� :r o � � � <br /> � � 1 � ,-i � " r.. <br /> � � <br /> gy� �'eonr�r Application an�TP�rm�#_ � _ =J � :=^�' � . <br /> � r - <br /> C7 � L� ' }� � Y }� � � Y i. C� 1 f !" J � <br /> � '� � .r . � .' � � � � �: `' �C � �-� .��' 'g �' � <br /> o� NO. Q$1�6 DATE Jartiinry 28, 1991 W V �� ' <br /> Service Address �fl2ti - 24th Ur SC Utility Account No. <br /> Bi1lingAdd�ess ���L u 34t1i 5c ; <br /> City, State, Zip Seattle idl: yGiG3 Permit Fee $ 30.00 <br /> Owner Ccunercu Connection Charge <br /> Connection by �es�� Trunk $ <br /> Address Lateral $ <br /> Total Conneclion Charge �" <br /> '�' Phone 5��7-821� Utiliry Development Fee <br /> 179.Q0 <br /> ��' Legal Description: Water S _ <br /> '�1 Lot 1�� Sawer $ <br /> a�i.00 <br /> ��' Block Tota' Development Fee $ �5�•�� <br /> �1 Pl�t Cuthrie III <br /> i <br /> ' Unplatted Description: Sewer Bond District <br /> � <br /> ' Abutling Let Lins <br /> ' N,S, E,W it. <br /> ' Type of Permit :te�. connection Approved By <br /> ' Remarl:s Issued By ';aigaret FicLeud i <br /> Customer Signature __ <br /> f t IMPORTAN' <br /> � � <br /> CALL 1-800-424-5555 48-HOURS <br /> PRIOR TO DIGGING � / � <br /> CALL 259-8810 FOR INSPECTION Inspection By_(�., �� <br /> Date Inspected � <br /> SEE SKETCH ATTACHED No. 28 L O h <br /> wsr�EcnoN <br />