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everett CHART NO. -- <br /> ,e TO POSTING__ av a <br /> City of Everett <br /> Sewer Application and Permit <br /> NO. 28466 DATE Oct. 10, 1"91 <br /> Service Address _20 - 60th Pl SE _ Utility Account No. — <br /> Billing Address 217 Elm St <br /> City, State, Zip rra*.rt ws oa20a Permit Fee $ 30 00 <br /> OwnerConnection Charge <br /> r �o Etc cw <br /> Connection by Omer �.���. _ �• Trunk $ <br /> Address _-- — Lateral $ <br /> — — -- Total Connection Charge $ <br /> Phone —__259-1523 Utility Development Fee <br /> Legal Description: Water $ lZ t_00 <br /> /O <br /> Lot --X-QLEarAbrent Uv,1— Sewer _— <br /> Block _—_— —_— _ Total Developrrent Fee $ _ 179.00 <br /> Plat <br /> Unplatted Description: Sewer Bond District ITUrn jl_LBfl001— <br /> Abutting Lot Line <br /> N. S, E, W <br /> Type of Permit New connection Approved By <br /> Remarks Issued By-- Itaghee _— - <br /> --_ — Customer Slgnatur <br /> IMPORTANTI <br /> CALL 1-800-424-5555 48-HOURS <br /> PRIOR TO DIGGING <br /> CALL 259-8810 FOR INSPECTION Inspection By � — <br /> Date Inspected <br /> SEE SKETCH ATTACHED NO. 28466 <br /> INSPECTION <br /> I i <br />