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CHART NO. <br /> everett <br /> T <br /> TO POSTING_tr + a <br /> City of Everett <br /> S89- PRE 8 88P, <br /> qm � <br /> Ay W x Sewer Application and Pei mit i <br /> UK ^ 0 NO. 2 8DATE <br /> oxo <br /> y H Service Address 5» - rnn, nl ac Utility Account No. <br /> H <br /> yt7 Billing Address E 40201 main Ave. <br /> g City.State.Zlp anokane- WA 09202 Permit Fee $ 30.00 <br /> n� n <br /> z H Owner a Connection Charge <br /> H Connection by c, u Trunk $ -- <br /> HH <br /> y <br /> U chAddress Lateral $ <br /> R@ LL _ — Total Connection Charge $ -0- <br /> zHrn <br /> H o y Phone Utility Development Fee <br /> Legal Description: Water $ 179.00 <br /> Lot v Sewer $ <br /> i <br /> C' Block -- Total Development Fee $ 179.00 <br /> Plat _ manabrooY._cliviolon_fl_--- <br /> Unplatted Description: Sewer Bond District r.-TID 1113 - <br /> -oft Abutting Lot Line <br /> -- N,S,E.W <br /> va. <br /> Type of Permit Approved By <br /> Remarks — Issued By 7 7nokViell — <br /> 1 Customer Signature <br /> IMPORTANT! <br /> CALL 1-800-424-5555 48-HOURS <br /> FC PRIOR TO DIGGING <br /> CALL 259-8810 FOR INSPECTION Inspection By <br /> Date Inspected <br /> SEE SKETCH ATTACHED No. 28366 <br /> INSPECTION <br />