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�M'►I�'!8�'7FT,AC'd�' 4�i��cNM1�J '.lq�. iiln i`4y�.'�+r: tw'C%ti��7T <br />w <br />r.. <br />e <br />g�.s�s� �sss <br />��. r�' r�,J �' c..r o �� i <br />�F M J w �w �A N� P <br />Sewer Application�a�d Pe,�t�it��,._ <br />.�;' ���s+�3�r `�e�-� <br />� ,� � r '£' L m 'y �i i,1' ,:, ..: � <br />_ 2 4? 5 0 DATE 4-9-93 <br />a„Tr., a �,tr,-��,-;rti�-; <br />CHART N0. -- <br />TO POSTING —� C <br />ServiceAddress 6905 Beverly Blvd UtiliryAccounlNo. <br />BillingAddress 4641 5flvereip Inne <br />Clty, S�a�e, Zip _Pverett �A 98203 permi� Fe9 § 70.00 <br />Ownef �k�ecee[ Conatructlon Co0neC110nChefge <br />Connactlon by �er <br />hddress <br />Phone 269-6005 <br />Legai Descriptlon: <br />�� 6 of Sltart P1aC 1102-25-92 <br />Block <br />Piat __ <br />Unpiatted Desc�iptlon: <br />Type0lPe�mi1 Ha� ronnec[Son <br />Remarks <br />IMPORTANTI <br />CALL 1-800-424•5555 48•HOUFS <br />PRIOR TO DIGGING <br />CALL 259-8810 FOR INSPECTION <br />SEESKETCH ATTACHED <br />Trunk E <br />Lateral E <br />Total Connection Charge S <br />Utility Devulopment Fee <br />Water S <br />Sewer S <br />Total Development fee S <br />450.00 <br />270.00 <br />710.00 <br />179.00 <br />650.00 <br />650.00 <br />Sewer Bond D:sirict I I — <br />Abutling Lol Llne <br />N� S� E� W k. <br />Approved By <br />MH <br />�55�0� By ..—, �--��� 1 <br />� <br />CustomerSipnaWre � ' � �-�'� ' ='� %-'`�J <br />� �, <br />� <br />Inspedlon By � � <br />Dete Inspected � � G <br />INSPECTION <br />'. 29'50 <br />