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CHART NO. <br /> everett <br /> �e888 TO POSTIMI7 r%zJ1 2- <br /> City of Everett P <br /> y AM M • f/ 8 � � �+5 <br /> Ifl NN fl31 ... ri 41 <br /> Sewer Applicatc"p".and Permit <br /> NO. DATE _oct, _11, 1991 — — <br /> Service Address 316 - 60th Pl SE Utility Account No. <br /> Billing Address E. 4020 Hain Ave <br /> City, State, Zip Spokane tJA 99202 —__ Permit Fee $ 30.00 <br /> Own __ ttanabrook Inc Connection Charge <br /> Connection by Owner _ Trunk $ — —. <br /> Address -- I iteral $ — — <br /> Total Connection Charge $ <br /> Phone (5091 534-0644 Utility Development Fee <br /> Legal Description: Water $ 179.00 _ <br /> Lot 47 of tianabrook Div. 1 Sewer $ <br /> Block —_ Total Development Fee $ 179.00 <br /> Plat <br /> Unplatted Description: Sewer Bond District ULID 01 (01300) <br /> Abutting Lot Line <br /> N, S, E,W _ —_ ft. <br /> Type of Permit New connection _ Approved By <br /> Remarks _ -- Issued By— <br /> Customer Signature <br /> IMPORTANTI <br /> CALL 1-800-424-5555 48-HOURS <br /> PRIOR TO DIGGING j <br /> CALL 259.8810 FOR INSPECTION Inspection By <br /> Date Inspected <br /> SEE SKETCH ATTACHED NO. 2.8471 <br /> I <br /> INSPECTION <br />