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CHART NO. ---- <br /> everett <br /> .`S <br /> TO POSTING..__2/6/Qz <br /> C:y City of Everett s r <br /> Sewer Application arid 'Permit <br /> z NO. 2845 ri QATE 10-09-91 - <br /> o Service Address 2o1 60th ri SE Utility Account No. <br /> ri Billing Address a- 4MqQ Kai" <br /> q CitySpokane MA 99202 Permit Fee $ In DO <br /> H y ,State,Zip <br /> 5g Cy Owner Hambrook Inc CA Connection Charge <br /> y j Connection by owner (1 tto.%.) 13o%r_k.� Q Trunk $ <br /> X13 O y Address _ Lateral $ <br /> Total Connection Charge $ <br /> Phone _ (509) 534-9A0 __ Utility Development Fee <br /> Legal Description: Water $ 179.00 <br /> C� Lot __ 54 of Hambrook 01.. 1 Sewer $ <br /> Block --- - Total DO4Opmenl Fee $ 170 On <br /> 1 Plat -- -- <br /> Unplatted Description: _ __ Sewer Bond District ULID 11 (58001 <br /> _ Abutting Lot Line <br /> N,S. E.W n' <br /> -- Type of Permit now connection _ Approved By <br /> Remarks — Issued By <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 --Z-1 <br /> SEE SKETCH ATTACHED NO. 28455 <br /> / INSPECTION <br />