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Hc� �yy <br /> A � dC <br /> C rA <br /> t' HfA <br /> tK H CHART NO. --. - - - ---- <br /> roI everett <br /> HCA <br /> esu TO POST;NG�aaL`�y.__ <br /> OH <br /> 08 <br /> 's88S8 s 8 838 <br /> M. <br /> 0 City of Everett �; m <br /> � H Sewer Application and R-q nit " <br /> CAF <br /> gey W s <br /> k -1 - - _ <br /> '3� NO. 28582 ATE 1130192 <br /> H 0 r <br /> Service Address —__7 - 60th Pl $4 _ Utility Account No. <br /> Billing Address <br /> L 4020 Vain Ave <br /> City, State,Zip Spokane WA 9920^ _ Permit Fee $ <br /> Owner FB[HRl A t'nunbrook Inc _ Connection Charge <br /> Connection by Trunk $ <br /> Address — Lateral $ <br /> Total Connection Charge $ <br /> i Phone —__ Utility Development Fee <br /> Legal Description: Water $ _ 174, nn <br /> Lot 33 Sewer $ — <br /> �� Block -- Total Development Fee $ —17A On <br /> Plat — <br /> Unplatted Description: _ Sewer Bond District <br /> Abutting Lot Line <br /> N. S. Eft. <br /> ,W <br /> Type of Permit itev connection Approved By <br /> .� Remarks —_ Issued By <br /> C. — I <br /> C J _ _ _ Customer Signature <br /> _ IMPORTANTI <br /> CALL 1-800-424-5555 48-HOURS <br /> PRIOR TO DIGGING <br /> Inspection By <br /> CALL 259.8810 FOR INSPECTION <br /> Data Inspected <br /> i <br /> SEE SKETCH ATTACHED No. 28582 <br /> INSPECTION <br /> I. <br /> t <br />