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CHART NO. <br /> everett <br /> r <br /> S <br /> City of Everett SS p� y8� 8 8pp <br /> V se <br /> j Seger Applicat(O." Y nd P r it <br /> NO. 28760 [ ATE 6/9/92 <br /> 9/92 <br /> Service Address 2702 59th St SH <br /> -- -- Utility Account No. <br /> Billing Address 14410 Bel–Red Rd 0200 <br /> City, State, Zip Lselloyee WA--H007 Permit Fee $ 20-00--- <br /> Owner <br /> 0n,. _Owner "nrr"nnd 1' mna — Connection Charge <br /> Connection by _ Trunk $ <br /> Address _ Lateral $ <br /> — Total Connection Charge $ 0.00 <br /> Phone _ Utility Development Fee <br /> Legal Description: Water $ 11114 go <br /> ' <br /> Lot 15 <br /> Sewer $ <br /> Block Total Development Fee $ 224.00 <br /> Plat <br /> Unplatted Description: Sewer Bond District <br /> Abutting Lot Line <br /> N, S, E, W R. <br /> Type of Permit Approved By -- <br /> Remarks Issued By _ GB <br /> Customer Signature—_ <br /> IMPORTANTI <br /> CALL 1-800.4.4-5555 48-HOURS <br /> PRIOR TO DIGGING <br /> c Inspection By <br /> CALL 259-8810 FOR INSPECTION <br /> Date Insp4cled �� – .2 <br /> SEE SKETCH ATTACHED NO. 28760 <br /> INSPECTION <br />