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CHART NO. — <br /> everett <br /> W <br /> TO POSTING_3/zo 9 <br /> City of Everett <br /> $ OD f P w p <br /> r r ..IIS <br /> Sewer Application art'! mit <br /> No. 28399 a DATE _L/27191 -- -- <br /> Service Address 112 - nocn Fl s*' Utility Account No. <br /> Billing Address <br /> City, State, Zip ----Everett-v&-1 Permit Fee $ <br /> OwnerConnection Charge <br /> nCP <br /> Connection by `����^ x toy Trunk $ — <br /> Address -- - Lateral $ -- <br /> Total Connection Charge $ <br /> Phone _ Utility Development Fee <br /> Legal Description: Water $ 179.00 <br /> Lot 15 Sewer $ <br /> Block -- <br /> Total Development Fee $ —179-0D <br /> Plat � F t14v �i— <br /> CLIL41 <br /> Unplatted Description: Sewer Bond District — <br /> Abutting Lot Line <br /> N, S, E, W ft. <br /> Type of Permit :,ev Connec -- Approved By <br /> Remarks — <br /> Issued By— Cb — <br /> Customer Signature <br /> IMPORTANTI <br /> CALL 1-8 48-HOURS <br /> PRIORIOR T TO DIG DIGGING <br /> CALL 259.8810 FOR INSPECTION Inspection By <br /> Date Inspected f <br /> SEE SKETCH ATTACHED NO. 28399 <br /> INSPECI ION <br />