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� <br />O <br />O �1 M <br />�Hp� <br />K�n <br />H :V <br />�U1N <br />H� <br />�HC <br />OH <br />H�g <br />QY (] <br />�y��HH <br />g �' <br />o�v�i <br />��� <br />C� <br />I `� <br />�____ _ . . . _-.. _ . ;e.�.��.....,.. :� t � .. ,:.N^a .! •-r �k: .. , r. .,�� <br />t�, ;� �� � S : <br />! �,l� �, ,_ - . <br />Sewer Applicatian and Permit <br />2 J 0 6 � DATE �. 2—z3—e3 _ <br />Service Address b107 Colty Ave <br />Billing Address <br />j Cily, Siale, Zip Everett RA 98201 __ <br />Owner Alderwood Cuetom Homen <br />Connection by <br />Address 3106 19th Ave NE <br />F,vcrett An 91f205 <br />, Phone — <br />I Legal Description: <br />Lot <br />Biock <br />Pla[ <br />Unplatted Description: <br />� Type ot Permit Cnp of f <br />Remarks <br />IMPORTANTI <br />CALL 1-800-424•5555 48-HOURS <br />PRIOR TO DIGGING <br />CALL 259•8810 FOR INSPECTION <br />Utiiity Account No. <br />. . . . 'r.�- .`�' '.5..� . . , �� <br />HART NO. <br />,?�'�'osTiNc <br />Permit Fee $ 10.0�� <br />Connection Charge <br />Trunk $ <br />Lateral $ <br />Totai Connectinn Charge $ <br />Utility Development Fee <br />Water $ <br />Sewer $ <br />Total Development Fee $ <br />�-5-q3 <br />Sewer Bond District — <br />Abutting Lot Line <br />R. <br />N,S,E,W <br />Approved By <br />¢Nll <br />Issued Dy <br />� ; � <br />Cuslomer Signature � ', i \ 1 <br />InspecUonBy .-�^'�-�� <br />"'7- 30 9> <br />Date Inspected <br />SGE SKETCH ATTACHED �NSPECTION <br />�, 2yGSQ <br />� <br />