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CHART NO. — <br /> everett <br /> ata � s TO POSTINGS �L <br /> City iii Everett r i •i o P G r 9 <br /> I <br /> Sewer Application and Permit <br /> NO. 28414 DATE SePt- 9, 1991 <br /> I <br /> Servica Address —____..-- fiOth P1 SE Utility Account No. <br /> Billing Address <br /> City, State, Zip ---. -5+'°v r'A ""711;— Permit Fee $ 30.00 <br /> Owner t "1III'r°ot. Connection Charge <br /> Connection by _ — Trunk $ <br /> Address --- Lateral $ <br /> Total Connection Charge $ <br /> Phone —---- — Utility Development Fee <br /> Legal Description: <br /> Water $ 17?.00 <br /> Lot 43 _ Sewer $ <br /> Block --- ----- <br /> Total Development ree $ 179.00 <br /> Plat — -- <br /> Unplatted Description: — - <br /> Sewer Bond District <br /> tILiDEl <br /> Ab.rtting Lot Line <br /> N,S, E,W tt' <br /> Type of Permit — Nov rt c+a" _-_ Approvad By — <br /> Remarks — <br /> Issued By C.A <br /> Customer Signature <br /> IMPORTANT! <br /> CALL 1-800-424-5555 48-HOURS <br /> PRIOR TO DIGGING <br /> Inspection By <br /> CALL 259.8810 FOR INSPECTION t L 9 L <br /> Data Inspected <br /> SEE SKETCH ATTACHED NO. 28414 <br /> "LCTIOIJ <br />