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1-30 <br /> .o <br /> C <br /> CHART NO. — <br /> Q)H everett <br /> CH tv <br /> H <br /> T� nn^�nrr <br /> S as �. <br /> � city of Everett 28898 8 8 R Sp. R <br /> gH Sewer ApplicatiorpandROT it N, <br /> N <br /> jp <br /> 3 dY = � $ i rit - <br /> yoW V�NO.28585 DATE 1/31/92 <br /> Service Address X600 PL SP. Utility Account No. <br /> Billing Address rA020 Maine Ave <br /> City, State, Zip Spokane VA 9920230.00 <br /> Permit Fee $ <br /> Owner lianabrook Inc Connection Charge <br /> Connection by -lam• Z • _ Trunk $ — <br /> Address _ Lateral $ <br /> Total Connection Charge $ <br /> CPhone Utility Development Fee <br /> Legal Description: Water $ 179_nn <br /> �_D Lot 1 _ Sewer $ <br /> �'�' Block Total Development Fee $ i7o-nn <br /> Plat <br /> Unplatted Description: _ Sewer Bond District ULID <br /> i <br /> Abutting Lot Line <br /> N.S, E.W ft. <br /> Type of Permit New connection Approved By <br /> ' Remarks Issued By r <br /> I _� <br /> Customer Signature <br /> I <br /> IMPORTANTI <br /> Lin <br /> CALL 1-800-424.5555 48-HOURS <br /> PRIOR TO DIGGING <br /> CALL 259-8810 FOR INSPECTION Inspection By <br /> Date Inspected ;L <br /> SEE SKETCH ATTACHED No. 28585 <br /> INSPECTION <br /> i <br />