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g;�ART NO. -- — i <br /> everett <br /> eH TO POSTING <br /> sssss 8 g8F <br /> a 59H 3 City of Everett o_ 8 g 4 4 `- <br /> H� Sewer Application _a_rdu 'ermit <br /> M2NO. 2$7581; DATE <br /> g <br /> Service Address 2710 59th St SW _ Utility Account No. <br /> 16a>n R 1 R A Rd /200 <br /> H Billing Address ]0 00 — <br /> 8 y H City,State,Zip "11ar+w-lt6---98007 Permit Fee $ <br /> U N Connection Charge <br /> Owner ^.M.++s•7veed'i�°°°t__ <br /> Trunk $ <br /> Connection by <br /> j y Lateral $ --- <br /> Address <br /> Total Connection Charge $ • <br /> Phone _ Utility Development Fee <br /> Water $ <br /> Legal Description: <br /> Z s� Sewer $ <br /> Lot <br /> Total Development Fee $ <br /> Block <br /> Plat •r a a3i <br /> Unpiened Description: _---- — <br /> Sewer Bond District <br /> Abutting Lot Line <br /> n. <br /> N.S.E.W <br /> Type of Permit —" Approved By <br /> Remarks <br /> _ Issued By <br /> -- — <br /> Customer Signature <br /> la J IMPORTANTI <br /> CALL 1-800-424-5555 48-HOURS <br /> PRIOR TO DIGGING <br /> Inspection By / i4elvou <br /> CALL 259-8810 FOR INSPECTION Date Inspected --,Q- <br /> SEE <br /> RSEE SKETCH ATTACHED <br /> NO. 28-l5ts <br /> INSPECTION <br />