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CHART NO. <br /> everett <br /> :g <br /> N <br /> es8ss s s8 � TO POSTING_S_�� -93 <br /> City of Everett <br /> Sewer Applidation Pernnit <br /> NO. 287';7 DATE .a 6/9/92 <br /> 2625 59th St SV Utility Account No. — <br /> Service Address <br /> Billing Address 14410 Bel-Red Rd 1200 <br /> 30.0v <br /> City, State,Zip <br /> Bellevue WA 99007 Permit Fee $ <br /> Cou____�_, u ■ — Connection Charge <br /> Owner <br /> Trunk $ <br /> Connection by <br /> Lateral $ <br /> Address — 0.00 <br /> Total Connection Charge $ <br /> Utility Development Fee <br /> Phone _---- 22400 <br /> Water $ <br /> L.gal Description: <br /> Sewer $ <br /> Lot 11 <br /> Total Development Fee $ 914 00 — — <br /> Block -- <br /> Plat n-••a�".'�u H1tE#�ka^de <br /> Unplatted Description: — <br /> Sewer Bond District <br /> Abutting Lot Line <br /> � ft. <br /> N, S. E,W — <br /> Type of Permit Nay+ connection Approved By �-- <br /> issued By_ �— <br /> Remarks — <br /> Customer Signature <br /> IIMPORTANTI l/ <br /> CALL 1-800.424-5555 48-tiOURS <br /> PRIOR TO DIGGING <br /> I pection B — <br /> CALL 259-8810 FOR INSPECTION Date Inspected <br /> SEI" SKETCH ATTACHED <br /> No. 28757 <br /> INSPECTION <br />