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1 <br /> CHART NO. <br /> everett <br /> � TO POSTING a s a <br /> H q <br /> A H � � <br /> >y City of Everett _ °- u4 « a <br /> o j Sewer Application and Permit; <br /> NO. 2841;7 DATE 10-09-91 <br /> g Service Address 225 59th P1 SE _ .__ Utility Account No. <br /> 0 E. 4020 Main <br /> zH Billing Address <br /> H y City,State,Zip 4pokans ton 99202 Permit Fee $ 70.00 <br /> to g d H Owner Aanabrook Inc Connection Charge <br /> Ca <br /> 1:1 Connection by Owner r^( "yy f�o.cl�e`- Trunk $ <br /> y O rn Address Lateral $ <br /> Total Connection Charge $ <br /> Phone _ (504) 574-0644 _ Utility Development Fee <br /> Legal Cescriptior:a,5q Water $ 179.00 <br /> r 1 --- <br /> Lot 500of Aenabreok Div 1 $ <br /> Sewer <br /> Block -- Total Development Fee $ 179,00 <br /> C Plat <br /> Unplatled Description: _ Sewer Bond District ULID it ($900) <br /> Abultina Lot Line <br /> N.S. E. W fT. <br /> Type of Permit New connection Approved By <br /> _ Remarks Issued By m t g <br /> Customer Signature <br /> IMPORTANTI <br /> CALL 1-800-424-5555 48-HOURS <br /> PRIOR TO DIGGING <br /> Inspection By -- <br /> CALL 259-8810 FOR INSPECTION <br /> Date Inspected — t' -- <br /> SEE SKETCH ATTACHED No. 28457 <br /> INSPECTION <br />