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,I <br /> CHART NO. <br /> everett H <br /> N <br /> e <br /> H TO POSTING-I-2---i - L <br /> j City of Everett <br /> o � � C9 <br /> Sewer Applicati and hermit <br /> U MNO. 28688 DATE 4/17/92 <br /> In Service Address _2519-59S1h S i au Utility Account No. <br /> Billing Address 14410 Bel-Rei . : 0200 <br /> City,State,Zip Bellevue WA 90007 Permit Fee $ 30.00 <br /> Owner Couneryvood tt®.. Connection Charge <br /> Connection by ie✓ n ej + 13' Trunk $ <br /> i <br /> Address Lateral $ <br /> Total Connection Charge $ j <br /> ( �j Phone Utility Development Fee <br /> C".3 Legal Description: Water $ 224.00 <br /> 1 Lot 17 Sewer $ <br /> CSI Block Total Development Fee $ 114,00 <br /> Plat Povdar Hill ffighlaude <br /> Unplatted Description: Sewer Bond District rn.rn <br /> left� <br /> Abutting Lot Line <br /> 1_I <br /> N. S,E,W H. <br /> Type of Permit new connection Approved By <br /> _ Remarks Issued By CB <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 �- 27 2 <br /> SEE SKETCH ATTACHED N0. 28688 <br /> INSPECTION <br />