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CHART NO. --_ <br /> everett <br /> te� TO POSTING <br /> City of Everett 8 8 . 8 E3 <br /> P? :. <br /> Severer Application of , " x <br /> NO. 28460 DATE a g <br /> Service Address 148..bIt_11I Utility Account No. — <br /> Billing Address --23, xii, st <br /> — <br /> City, State, Zip Everett MR — Permit Fee $ <br /> Owner B � — Connection Charge <br /> selectC, oction by _ '+G /' Cra 6K cw — Trunk $ <br /> Address — — Lateral $ — — <br /> Total Connection Charge $ <br /> Phone _ Utility Development Fee <br /> Legal Description: Water $ 119.00, <br /> Lot --rSewer $ <br /> Block —..._- -- Total Development Fee $ 119.00 <br /> — <br /> Plat <br /> Unplatted Description: _ Sewer Bond District <br /> Abutting Lot Line <br /> N, S, E, W K. <br /> Type of Permit •!ee _ Approved By <br /> Remarks __ _ Issued By____— <br /> M liughe• <br /> Customer Signature <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 <br /> SEE SKETCH ATTACHED NO. 28460 <br /> INSPECTION <br />