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everett CHART NO. <br /> eTO POSTING %20 4Z <br /> City of Everett <br /> Y a <br /> Sewer Application and Permit <br /> NU. 284 5 ', DATE 10---9-91 _ <br /> Service Address 22 - 60th P1 SE Utility Account No. <br /> Billing Address 717 xtm ar <br /> City, State, Zip r?verettJ/A 9A2o r Permit Fee $ 30.00 <br /> Owner c . n ■ — Connection Cha-- ,. <br /> Connection by owner ' . 4. t E-� c . ._ Trunk $ —_ <br /> Address Lateral $ <br /> -- - Total Connection Charge $ <br /> Phone 250-1503 _ Utility Development Fee <br /> Legal Description: — Water $ _ 170-o0 <br /> Lot11 of Hanpbz4ol _pig 1 Sewer $ <br /> Block — Total Development Fe,, $ 179.00 <br /> Plat <br /> UnplattedDescription: __- Sewer Bond District —_s,.-.D 4 <br /> —_ Abutting Lot Line <br /> N, S. E, W ft. <br /> Type of Permit _1814 na= Approved B <br /> PP Y-- <br /> ?Prrarks _ <br /> -- Issued By—!'!rsgr+oa __ I <br /> -- Customer Signature <br /> IMPORTANTI <br /> CALL. !00-424-5555 48-HOURS <br /> fIRIOR TO DIGGING <br /> CALL 259-8810 FOR INSPE,;TION Inspection By <br /> Date Inspected <br /> SEE SKETCH ATTACHED No. 28453 <br /> INSPECTION <br />