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everett CHART NO. <br /> City of Everett TO POSTING-fold/� <br /> Sewer Application and Permit <br /> NO. 294(;7 DATE Oct. 11, 1991 <br /> Service Address 26 - 60th Pl 3E Utility Account No. <br /> Billing Address _ 237 Elm St _ <br /> City, State, Zip Everett WA 98203 Permit Fee $ 30.00 <br /> Owner _ Seleet Homes Connection Charge <br /> Connection by eirtfe! Trunk $ <br /> Address Late it $ — <br /> Total Connection Charge $ <br /> Phone _ 258-1503 Utility Development Fee <br /> Legal Description: Water $ 179.00 <br /> Lot 12 of Hanabrook Div. 1 Sewer $ — <br /> Block _ Total Development F ie $ 179.00 <br /> Plat _— — <br /> Unplatted Description: _ Sewer Bond District OLID tl ($800) <br /> Abutting Lot Line <br /> N, S, E,W ft. <br /> Type of Permit New connection _ _ Approved By <br /> Remarks _ Issued By.— Nu_g_hee _ <br /> Customer Signature <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. 28467 <br /> INSPECTION <br />