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CHART NO. <br /> everett <br /> T; POSTING <br /> y w City of Everett <br /> as <br /> � y= Sewer Application and Permit, " <br /> =0 <br /> H NO. 284558 DATE — --Oct- 011 <br /> 1091 <br /> r <br /> o <br /> H t7 <br /> m g Service Address 711 52th 21 SE Utility Account No. <br /> (]V (7 <br /> ZH Billing Address E. 6070 Main <br /> y y City, State,Zip <br /> Spokane MA 99707 Permit Fee $ 30.00 <br /> gd y Owner Hanabroo � _. Connection Charge <br /> yti Connection by -CL& 13 ^ �` e- Trunk $ <br /> y n C4 Address Lateral $ <br /> Total Connection Charge $ <br /> Phone (snot Utility Development Fee <br /> Legal Description: <br /> Water $ 179.00 <br /> Lot 09 of Hanahmh Di2._1_ Sewer $ <br /> Block ---- --- <br /> Total Development Fee $ 179.00 <br /> �.� Plat ---- <br /> Unplatted Description: _--_ <br /> Sewer Bond District nr m et ($noni — <br /> Abutting Lot Line <br /> _ --- N,S,E. W ft. <br /> Type of Permit _lislts:4nnasLian— -- <br /> Approved By <br /> Remarks —_--_ Issued By <br /> Customer Signature <br /> IMPORTANTI <br /> CALL 1-800-424-5555 48-HOURS <br /> PRIOR TO DIGGING f <br /> Inspection By <br /> a � <br /> CALL 259.8810 FOR INSPECTION <br /> DateInspected <br /> SEE SKETCH ATTACHED No. 28458 <br /> INSPECTION <br />