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p HC H <br /> o-3 to <br /> K � H y- CART NO. <br /> 0 =Q everett <br /> Hz <br /> � mgTO POSTING <br /> n` n City of Everett <br /> zH � <br /> iH Sewer Application and Permit <br /> 8 .j H <br /> o .�cn <br /> N N0. 29741 DATE 6/2/92 <br /> H — oer'Ol/92 t.l4rn ooana414a rrrl <br /> H 0 Vi / <br /> Service Address 1530 59th St SW Utility Account No. r <br /> t_g a ca exon 11.00 1755.00 <br /> Billing Address 1&410 I'M 165.00 <br /> Permit Fee $ 0EG1 1t40�®Q00 <br /> City,Slate,Zip 5all <br /> °8007 gTi 14.50 <br /> Owner Connection Charge DKV" ftifl,Oft <br /> lKI000miit <br /> /5t�llsoe Trunk Mn1 •'^` 1>A <br /> Connection by �^a� " s MAP 40 <br /> Address Lateral qyL <br /> Total Connection Charg�17 '+ im 12.4 0000 <br /> r <br /> Utility Development Fee RUDG 1759.50 <br /> nPhone PLM 145.00 <br /> Water nE06 it X00 <br /> LfLegal Description 1 51[:11 14,;11 <br /> Lot 19 Sewer 01'140 <br /> WKVF145 <br /> ' 1 Block Total Development Fee 1I—�t,F, , --- <br /> WX)Wl 44 <br /> _ Plat %WrR 1x•00 <br /> 1Sewer Bond District 1t7L'5 1224.01) <br /> L <br /> Unplatted Description: tift)M3L421 <br /> Abutting Lot Line 12-DG 1765.:0 <br /> 11.10 t'70.Of1 <br /> 3N.S,E,W rru +40 00 — tt. <br /> - R SKII 14;!i0 <br /> Type of Permit Haw coaoection _ Approved By <br /> 11(11(0814. CB <br /> 1 Remarks Issued Byv=, .r_-- <br /> Customer Signature Vj()(1210741 <br /> SM t:v1.t0 <br /> t IMPORTANTI L'iEQ'ca! 1::4.10 <br /> 141149.141 <br /> CALL 1-800-424-5555 48-HOURS <br /> PRIOR TO DIGGING <br /> Inspection By <br /> CALL 259.8810 FOR INSPECTION Date Inspected <br /> I <br /> I <br /> SEE SKETCH ATTACHED No. 28741 <br /> INSPECTION <br />