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CHART NO. —Fteverett <br /> o, <br /> t- sgps s s 888 TO POSTING_ ;fMr 2 <br /> City of Everett �; �; R o. Z3 <br /> Sewer Applicatiprw = l <br /> ne <br /> NO. 28437 DATE J;+ ..u.. 30 <br /> Service Address t nt 60th DL 9R Utility Account No. — <br /> Billing Address <br /> City, Slate, Zip Everart, WA — Permit Fee $ --In-nn <br /> Owner Connection Charge <br /> Connection by �^ GD E-" COY Trunk $ <br /> Address Lateral $ <br /> Total Conne:tion Charge $ <br /> Phone 258-1503 Utility Development Fee <br /> Legal Description: Water $ 179 An <br /> Lot 27 Sewer $ <br /> Block Total Development Fee $19_00- <br /> Plat fw by-xw DLy y --- <br /> Unplatted Description: —--_— Sewer Bond District _nr iD 41 <br /> Abutting Lot Line <br /> ----- N, S, E. W — ft. <br /> Type of Permit _ . _____-- Approved By — <br /> Remarks _—_ .___— Issued By <br /> Customer Signature <br /> i <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 t%7 <br /> SEE SKETCH ATTACHED NO. 28437 <br /> INSPECTION <br />