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� yy <br /> C H � <br /> pyHpyCC V� <br /> tHZ � <br /> H <br /> CHART NO. <br /> everett ------ - . <br /> 0x e <br /> H n <br /> r"M8 eTO POSTING�L�L- <br /> y City of Everett t3 <br /> rH/1 F3 Ij <br /> IV <br /> H Sewer Application a-qq,?, <br /> IREI C` (J W Ld' t� 3 u <br /> �aoy NO. 28580 DATE 1/uv92 _-- <br /> Service Address __. 3 - 60th P1 SL Utility Account No. — <br /> Billing Address n emn xrein Ava <br /> City,State,Zip — sTnk . A 99202 Permit Fee $ 30.00 <br /> Owner Ifie Connection Charge, <br /> Connection by Trunk $ — <br /> Address Lateral $ — <br /> Total Connection Charge $ <br /> ��. Phone --- Utility Development Fee <br /> 1 Legal Description: Water $ 179.00 <br /> `� Lot __.:u__ —.—._—-- Sewer $ <br /> Block — -------- ---- Total Development Fee $ 179.00 <br /> Plat - <br /> Unplatted Description: Sewer Sand District <br /> ULID <br /> _ Abutting Lot Line <br /> N,S.E.W n' <br /> Type of Permit _ „,., t 1nu___ Approved By <br /> r� Remarks _ — - -- -- Issued By OB <br /> ------ Customer Signature <br /> IMPORTANT! <br /> CALL 1-800-424-5555 48-HOURS <br /> PRIOR TO DIGGING <br /> Inspection By <br /> CALL 259-8810 FOR INSPECTION <br /> Date Inspeclad •�� 3 <br /> SEE SKETCH ATTACHED NO. 285580 <br /> INSPECTION <br /> I <br />