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Aix <br />sHr~i� <br />r <br />K n <br />H X1 <br />H NH <br />Otv <br />O HH <br />�cig <br />l:+H� <br />HH <br />S <br />H <br />0 � rrn1 <br />H CA <br />H O rA <br />CHART NO. <br />everett <br />cen_.-� TO <br />City of Everott <br />Sewer Application and Permit <br />NO. 287135 DATE 68 92 1 <br />Service Address __t3"94h- pt�v Utility Account No. 4 <br />i <br />Billing Address—49404-304"v"F- <br />City, State, Zip Mthol l WA o80t r <br />Owner A aia Ltd- <br />. <br />Connection b ovaas <br />Addruss — <br />Phone 48—oa�— <br />Legal Description: <br />Lot I of co iy 119 <br />"llock <br />Plat <br />Unplatted Description: <br />Type of Permit etioa <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 />HOI1036 M <br />01.00 $765.50 <br />Permit Fee $ _ 744�q <br />$H}B BB - <br />Connection Charge <br />MEDI $180.DD <br />0 901 $6.50 <br />Trunk <br />�155 .M_— <br />Lateral <br />WAIM V48.511 <br />#00028754 <br />Total Connection CharglIEWC.11111 330.110111) <br />Eft tl V120.01) <br />Utility Development Fee <br />1171//5� $949.00 <br />Water <br />Hob �.91 u. nn <br />It00-im4..�o <br />Sewer <br />NLLYI <br />tir.ra t :0 <br />Total Development Feel) WVI 940,16 <br />okwl i20.01) <br />1100" 153 <br />$kMY $1:41.00 <br />Sewer Bood District <br />- <br />A&MI.nov% <br />SEWER t.41.00 <br />Abutting Lot Line <br />F;fD1t $720.00 <br />N S E W _ <br />1171r) $949.00 H. <br />HUM197 <br />Approved By _ <br />P1.H CH I.M.00 _ <br />f1ECK t'.i'MV.00 <br />Issued By xu <br />.= <br />Customer Signature <br />Inspection By,, ---- <br />Date Inspected Z 3- <br />INSPECTION <br />No. 28755 <br />a <br />