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ICHART NO. <br /> everett <br /> � TO POSTING______-- , <br /> CNy o1 Everon � ' <br /> ,���.:':.-�_ <br /> Sewer Application and Permit �"� �y° � <br /> r Fn� w. <br /> :s�a':��,:: <br /> �u! � � . . <br /> NO. 28422 DATE s�ot+�r 1�, 19f1 _ � � <br /> Service Address ��^� �� �� Utiliry Accaunl No. -- <br /> Billing Address 828 .YwE 71e�� <br /> Cily.Stete,Zip ¢+�ct Mn 9B2o1 Permit Fee S f0.00 <br /> Owner �■ Connection Charge <br /> Connection by Trunk S <br /> Address 1715 100th Pl SF: Lateral E <br /> � . orona — Total Connection Charge E -e- <br /> Pliono ��p.�yy� Utility Development Fee <br /> Legal Description: Water S <br /> Lot _ Sewer 5 <br /> g�p� Total Development Fee 5 0 <br /> Plat <br /> Unplatled Descriptlon: Sewer Bond District *^���^A <br /> Abutting lo�Line <br /> N,S,E.W n. <br /> Type ol Permit Ner ma..ction Approved By <br /> II Remarks _.,�.µ�_�—�.ky_����,�� Issued By aasg�s�t InLea I <br /> .6�1-/j-.0 -�H._.J_.:. � /�c.. l+--.'� CustomerSlgnature I <br /> IMPORTANTI <br /> CALL 1-800-424-5555 48-HOURS <br /> PRIOR TO DIGGING <br /> Inspedion By �l P�`�— <br /> CALL 259-8810 FOR INSPECTION <br /> Date Inspec�ed `�� - <br /> SEE SKETCH ATTACHED N�• 28422 <br /> INSPECTION <br />