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CHART NO. — <br /> everett <br /> ie. m nncTlNf, <br /> City of Everett <br /> Sewer Application and Permit <br /> i <br /> No. 2 8 4 F 9 DATE Oct. 11, la9t <br /> Service Address 232 - a9t t. pl as — Utlliy Account No. --- - - <br /> Billing Address S. 4020 (lain Ave _ <br /> City, State, Zip Spokane 101 99202 — Permit Fee $ 30.00 <br /> Owner Hanabrook Inc. Connection Charge <br /> Connection by omeny• Trunk $ <br /> Address -- Lateral $ <br /> Total Connection Charge $ <br /> Phone (509) 534-0644 Utility Development Fee <br /> Legal Description: Water $ 179.00 <br /> Lot 57 of lianabrL.)k Div. 1 Sewer $ <br /> Block Total Developrounl Fee $ 179.00 <br /> Plat <br /> Unplatted Description: Sewer Bond District OLID41 (58001 <br /> Abutting Lot Line <br /> -- -- N, S, E, W K <br /> Type of Permit riew cv_n_neceion Approved By <br /> Remarks _ —__ _— Issued By Huahee <br /> Customer Signature <br /> IMPORTANTI t <br /> CALL 1-800-424-5555 48-HOURS <br /> PRIOR TO DIGGING <br /> Inspection By •r <br /> CALL 259-8810 FOR INSPECTION Z 2 _ s.` <br /> ' Date Inspected — <br /> SEE SKETCH ATTACHED <br /> No. 28469 <br /> INSPECTION <br />