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��EF�"� <br />q "� Fi <br />�Hv <br />H��� <br />��ro <br />N <br />x <br />o�d <br />0 <br />Q��Zyy <br />rHyH <br />g�� <br />��� <br />� �� <br />� �� <br />u <br />everett ""� <br />� _ TO POJTING /-�+-a� <br />� - _ � <br />City o1 Everett ,� _ _ _ _ � _ ' �' :� <br />t'. i ' •• . . L �., ', . � <br />Sewer Appli�atio�n-a�nd Per�iit u,_ <br />:_ �- y <br />,, <br />N0. 2 8 4� � y DATE 9 17 9i ` -��� <br />Servico Address �1 - 113th St SE <br />BIIIIngPjdress d�12 177th Pl Sa <br />City, State, Zlp h'°�'tt M� 99209 <br />Owner �at Net�t_ �.i ha�rican 6etstes <br />Conneclion by 01R1°r <br />Address <br />Phone _ 777-3189 -- <br />Legal Descriptlon: <br />Lot _ 4R ut 61Lv�r. Acr�s <br />Block <br />Plat <br />Unptatted Descdptfon: .. _ <br />Type ol Permit <br />Remarks _ <br />N0. <br />U�ility Accounl No. — <br />PermitFee $ �0.00 <br />Connection Charge <br />Trunk $ 310.00 <br />Lateral $ — <br />Total Connectlon Charge $ 3�0.00 <br />UUiiry Developmant Fee <br />Water $ 224.�n _ <br />Sewer $ sao nn <br />Total Development fee 3 Rl�'�� — <br />Sewer Bond Dis�rict <br />Abutting Lat Line <br />N, S, E. W — <br />III <br />n. <br />per <xmnectlon App;oved By - <br />— issued By — p��9hne <br />__ Cus�omer Signature --- <br />IMPORTANTI <br />CALL 1-800-424-5555 46-HOURS <br />PRIOR TO DIGGING <br />CALL 259-8810 FOR INSPECTION <br />SEE SKETCH ATTACHED <br />Inspeclion By �` //�' G�/ /.!'�� <br />Dale Inspecled �L �� -- <br />� <br />No. 28423 <br />a <br />