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(CHART NO. —_ <br /> everett to tj <br /> O POSTING-L_ <br /> 22U [E <br /> U D <br /> City of Everett JAH C - 1992 <br /> Sewer Application and Permit CITY OF EVERETT <br /> Building Division <br /> NO. 28450 DATE Oct. e, 1991 <br /> Service Address 328 60th P1 SR Utility Account No. <br /> Billing Address _ E. 4020 Main <br /> City, State, Zip kane Hr 99202 — Permit Fee $ 30.00 <br /> Sambrook Inc <br /> Owner Connection Charge <br /> Connection by Owner Trunk $ <br /> Addrass Lateral $ <br /> Total Connection Charge $ <br /> Phone (509) 534'-0644 Utility Development Fee <br /> Legal Description: Water $ 179.00 <br /> Lot 48 of Hambrook Div. 1 Sewer $ --- <br /> Block — Total Development Fee $ 179.00 <br /> Plat <br /> Unplatted Description: Sewer Bond District <br /> Abutting Lot Line <br /> N, S, E, W h• y <br /> Type of Permit ._ Ma Qztin Approved By <br /> Remarks _. Issued By M Huetv+a <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. 284 J n <br /> INSPECTION <br />