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f <br /> CHART NO. <br /> everett <br /> 9y TO POSTING__ �yz <br /> y City of Everett � 1 <br /> . !� i P . • S <br /> Everett.-, u .� <br /> y� Sewer Ap l cation n brmit <br /> ,, MH <br /> z ,y <br /> 8 tv NO. 285 2� DATE ranuasp <br /> Mo <br /> 0�g Serv!ce Address 7D1 - Seth St SIR— _ -__ Utility Account No. <br /> H Billing Address 2721=1tb <br /> 8 y City,State,Zip nmretL vin 9e=0E -- Permit Fee $ 30.00 <br /> H <br /> n t7 to <br /> jm M Owner --- Connection Charge <br /> H 8 y Connection by _ ��__ _ Trunk $ <br /> Address — —-- -- -- Lateral $ <br /> — — Total Connection Charge $ -- <br /> Phone 337-7153 ____ Utility Development Fee <br /> 1.. Legal Description: Water $ ,179 00 <br /> Lot I Sewer $ 471.00 <br /> C ..1 Block — - Total Development Fee $ 650-oe _ <br /> Plat SP 33-90 _ <br /> i <br /> Unplatted Description: _ Sewer Bond District *—(AdlMA) <br /> Abutting Lot Line <br /> 1 `il ___ N. S. E,W ft. <br /> Type of Permit HEW MMMCnM ____ Approved By <br /> 1`) 1 Remarks — Issued By <br /> Customer Signature <br /> �.��. IMPORTANTI <br /> CALL 1-800-424-5555 48-HOURS <br /> PRIOR TO DIGGING �. <br /> CALL 259-8810 FOR INSPECTION Inspection By <br /> Date Inspected 3 f 1` <br /> SEE SKETCH ATTACHED NO. 28562 <br /> INSPECTION <br />