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CHP'IT NO. <br /> everett <br /> S 688 8 8 84 <br /> City of Everett Y; <br /> Sewer Application and;? rmit $ b <br /> � a <br /> NO. 2 8 4 7 6 DATE oct- -14, 1991 <br /> Service Address 301 60th Pl BE Utility Account No. <br /> Billing Address E. 1020 Main Ave <br /> City, Stale, Zip _ Spokane MA 99202 Permit Fee $ 30.00 <br /> Owner tfanabrook Inc. _ _ Connnction Charge <br /> Connection by Owner Trunk $ <br /> Address Lateral $ <br /> Total Connection Charge $ <br /> Phone (509) 534-0644 Utility Development Fee <br /> Legal Description: Water $ 179.00 <br /> Lot 50 of Sambrook Div. 1 Sewer $ <br /> Block — Trial Development Fee $ 179.00 <br /> Plat <br /> Unplatted Description: Sewer Bond District 9=01 (58001 <br /> Abutting Lot Une <br /> N, S. E.W <br /> Type of Permit 14en connection Approved By_ <br /> Remarks Issued By1a <br /> Customer Signature— f — <br /> IMPORTANTI <br /> CALL 1-800-424-5555 48-HOURS <br /> PRIOR TO DIGGING 7 <br /> Inspection By <br /> CALL 259-8810 FOR INSPECTION �. <br /> o- Date Inspected <br /> ` SEE SKETCH ATTACHED <br /> IN3Pr:rTION xx ' <br />