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CHART NO. <br /> everett <br /> 1 <br /> City of Everett <br /> � s :3 � �= � z; TO POSMIG d <br /> �� C' o � � '� Mi <br /> .A M • M - <br /> w <br /> Sewer Applicatior aid PereErtl <br /> f <br /> NO. 2 8 0 3 5 DATE ynaber99, 1990 <br /> Service Address 199 FiB Utility Account No. <br /> Billing Address --2529--189th st RH <br /> City, State, Zip _Bot-1-1 i r VA onol a Permit Fee $ 30.00 _ <br /> Owner _— +.ftra-J-40,a6t. o. Connection Charge <br /> Connection by — Trunk $ <br /> Address ------ -- ---- Lateral $ <br /> Total Connection Charge $ -e- <br /> Phone _ — Utility Development Fee <br /> Legal Description: Water $ <br /> Lot --_ Sewer $ _589.00 <br /> Block -- --- Total Development Fee $ e13_oa _ <br /> Plat -- <br /> q racy— <br /> Unplatted Description: _. —___- --_ Sewer Bond Districtnand * — <br /> Abutting Lot Line <br /> N, S. E. W <br /> Type of Permit --1Lw_cwuact-ion _ Approved By <br /> Remarks __-_—___ Issued By <br /> Customer Signature ( V d <br /> IMPORTANTI <br /> CALL 1-800-424-5555 48-HOURS <br /> PRIOR TO DIGGING <br /> �'•� — <br /> CALL 259-8810 FOR INSPECTION Inspection By <br /> Date Inspected <br /> SEE SKETCH ATTACHED N0. 28035 <br /> INSPECTION <br />