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_ 4 <br /> i <br /> i <br /> 1 <br /> x0 <br /> [i1 CHART NO. - <br /> o everett <br /> � HVr <br /> I e <br /> IN TO POSTING <br /> ho v, City 0 Everett0. <br /> oz <br /> de ;ewer Application and Permit <br /> n� � <br /> V <br /> c3 <br /> y q I NO. 28480 DATE Oct. 21, 1991 <br /> t"Hy <br /> N H Service Address 102 715th St SR Utility Account No. <br /> co rn <br /> BIIIingAdiress <br /> H o ti City,Stale,Zip — ryerntt wa 9020'+ Permit Fee $ 10.00 <br /> Owner — a*t} .r.Tart — _ Connection Charge <br /> Connection by Trunk $— <br /> Address 5130 warlxfcF Avg Lateral $ <br /> phratt wA 40241—.— -- Total Connection Charge $ <br /> I <br /> Phone ve0-satin—___—__--- Utility Development Fee <br /> C—, Legal Description: Water $ — <br /> 1 Lot — --- Sewer $ <br /> Block ---- Total Development Fee $ — <br /> Plat - <br /> i Unplatted Description: ____— Sewer Bond District <br /> Abutting Lot Line <br /> _ N,S, E. W ft. <br /> 1 (�) Type of Permit Sewer-AUeration__- — -_ _- Approved By <br /> Remarks _ _— Issued By_ Neehes <br /> i � I <br /> Jz _ _ _-_ .._ Customer Signature _ -- <br /> IMPORTANTI <br /> CALL 1-800-424-5555 48-HOURS <br /> PRIOR TO DIGGING <br /> CALL 259-8810 FOR INSPECTION Inspection By <br /> 3 . az <br /> Date Inspected <br /> SEE SKETCH ATTACHED NO. 2$400 <br /> INSPECTION <br />