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� i <br /> t" H CA <br /> K A <br /> everett CHART NO.�0 <br /> od e <br /> �+886R8 8 8 888 <br /> H City of Everett <br /> � y I E� � s 4 � TO POSTING-W-- — <br /> 8 CO) F4 <br /> gdF4 I Sewer Applicatt. n agdE. rit <br /> baa <br /> y0tn No. 28592 � DATE <br /> 214/9i8 � _ <br /> Service Address 25 — 6Cth F1 Sl <br /> Utility Account No. <br /> Billing Address E 4020 Yaln Ave <br /> City, Slate,Zip rry 0420^ Permit Fee $ 70.00 _ <br /> Owner i p+aLtc ri. lne Connection Charge <br /> Connection by Trunk $ <br /> Address Lateral $ <br /> Total Connection Charge $ <br /> Phone Utility Development Fee <br /> I <br /> Legal Description: Water $ 179.00 <br /> 1 `_ Lo; + Sewer $ <br /> Block ___ __.._ Total Development Fee $ 179.00 <br /> Plat <br /> Unplatted Description: _— _ Sewer Bond District Ill.lb <br /> I <br /> Abutting Lot Line I <br /> N. S. E.W N. <br /> Type of Permit ue. C eatiApproved By !, <br /> 01 J1 <br /> Remarks _ Issued By <br /> Customer Signature cy i <br /> C IMPORTANTI <br /> I <br /> CALL 1-800-424-5555 48-HOURS <br /> PRIOR TO GIGGING // // I <br /> Inspection By 4-11e� <br /> CALL 259-8810 FOR INSPECTION <br /> Date Inspected G r f Z <br /> I <br /> I <br /> SEE SKETCH ATTACHED No. 28592 <br /> Ird�l�r-cnoN <br />