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9 H fn <br /> tH" E <br /> o�N ro CHART NO. <br /> evenptt <br /> x <br /> Sri <br /> M a TO POSTING <br /> n,• n � f <br /> H City of Everett <br /> gc Sewer Application and Permit <br /> H e ti N0. 2 8 4 6 3 DATE ._Qct—>>- tg9i <br /> ID <br /> Service Address 'W' 60th P1 ss Utility Account No. <br /> Billing Address 237 8L Rt. <br /> City,State,Zip R"Mi f. am ORM' Permit Fee $ 30.00 <br /> Owner Select Rn - Connection Charge <br /> Connection by aveer Trunk $ <br /> Address Lateral $ <br /> Total Connection Charge $ <br /> Phone 250-1503 Utility Development Fee <br /> 1 Legal Description: Water $ 179.00 <br /> C � Lot S' X of Hambrook Div. 1 Sewer $ <br /> w <br /> Block Total Development Fee $ 179.00 _ <br /> Plat — <br /> �� <br /> Unpletted Description: Sewer Bond District •yLig-T--(:M) <br /> Abutting Lot Lina <br /> w <br /> Type of Permit ■" nnnnanlinn Approved By — — <br /> s <br /> jj Remarks Issued By Rugtrea <br /> Cuslo ner Signature— <br /> ��J 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 <br /> SEE SKETCH ATTACHED NO. 28463 <br /> INSPECTION <br />