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IT NO. <br />everett <br />City of Everett <br />Sewer Applicat <br />No. 28696 <br />TO POSTING N5 e <br />g88�p8 p8 p8p8 <br />Y7 w M .dA M MO <br />ion carp P r it <br />DATE � April 24r1991 <br />Service Address 60e - Oth Mr. su <br />Billing Address 2721 }i6th et a$ <br />City, State, Zip <br />Owner —6reiE lt.W. Ferret1. 1 <br />Connection by L t Z-- <br />Address <br />Phone <br />Legal Descr,,dion: <br />Lot 4 <br />Block—pppti�-pq <br />Plat liaed Addle Addn <br />Unplatted Description: <br />Utility Account No. <br />Permit Fee $ --ap pp <br />Connection Charge <br />Trunk $ <br />Lateral $ <br />Total Connection Charge $ g <br />Utility Development Fee <br />Water <br />• rr <br />Sewer $ •71-n0 <br />Total Development Fee $ &CO-00 <br />Sewer Bond District <br />Abutting Lot Line <br />N, S, E, W <br />Type of Permit—l78u_sAug8MON Approved By <br />Remarks <br />IMPORTANTI <br />CALL 1-800-424-5555 48-HOURS <br />PRIOR TO DIGGING <br />CALL 259-8810 FOR INSPECTION <br />SEE SKETCH ATTACHED <br />Issued By— Rockwell <br />Customer Signature <br />Inspection By <br />Date Inspected r=' I` '�- <br />No.28696 <br />ft. <br />