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"m everett CHART NO. <br /> b eTO POSTING__--:�! -r)-vz <br /> b H City of Everett <br /> R <br /> Sewer Application and Permit� �uro3;r-.-.. 1:.;Oftt ODONg4150 Rtet <br /> n • / <br /> F NO. 237 ' DATE .__ ;� _ G �d4835.50 <br /> Service Address 2516 59th St SW _ hECI1 4140.110 <br /> Utility Account No. <br /> r Melt 111.5" <br /> in BillingAddress - 14410 RAI—Rod ad o4pg %:`D.OD <br /> 41101108138 <br /> City,State,Zip - ]iellevue WA 981107 Permit Fee $ A1TR $105M,00 <br /> Owner �_. Connection Charge ;Eta 470.0? <br /> 11 1I7V5 4_<^4.00 <br /> Connection by C.rd[t ki 103 Trunk 110O11jdi2 <br /> ItD 4'103.00 <br /> Address Lateral 1780$ iw.* <br /> — Total C•innection Char nEC11 5140.00 <br /> gP, Am .4:x/00 <br /> Phone _. Utility Development Fee IA V1R $11-0.00 <br /> gOf1008137 <br /> 1 Legal Description: Water 1111-3 4 OhRo0 <br /> C:) Lot ;R"W8^3^ <br /> =_,— -- Sewer ;I-M$ 1 E-00� <br /> 1Block _ it-1/5 Q24.f10 <br /> _ Total Development Feer ltC1li—txpplf# <br /> Plat <br /> ow er g n e <br /> Unplatted Description: Sewer Bond District <br /> Abutting Lot Line <br /> N, S, E,W g, <br /> ''1_1 Type of Permit --!Mnm eenneetion Approved By <br /> Remarks Issued By GA <br /> 4 -- Customer Signature <br /> IMPORTANT! <br /> ,_ro1 CALL 1-800-424-5555 48-HOURS <br /> PRIOR TO DIGGING <br /> CALL 259.8810 FOR INSPECTION Inspection By <br /> Date Inspected L 1 -7 2- <br /> SEE SKETCH ATTACHED No. 28737 <br /> INSPECTION <br />