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Sewer Applicatiol <br />29327 <br />Service Address 31 SW Everett Mail Way <br />Billing Address .-10330 Hwy 99 <br />City, State, Lip ;Everett WA 98204 <br />M. <br />Owner Labco <br />Connection by <br />Address <br />Phone <br />Legal Description: <br />Lot <br />Block <br />Plat <br />Unplatted Description: <br />'type of Permit <br />Remarks <br />new connection <br />IMPORTANTI <br />CALL 1-800-424-5555 4E(- HOURS <br />PRIOR TO DIGGING <br />CALL 259.8810 FOR INSPECTION <br />SEEAA1,%TCH ATTACHED <br />S R N N[Cim 8 tip:° <br />d Lppl .pp Rt 6� Cp f•J pq <br />R .q <br />Mf <br />n ' <br />. $r �W � l <br />b Z phpi--r p 2 [r <br />U N <br />7-7-93 <br />CHART NO. <br />Z2 <br />O <br />W <br />2 <br />V <br />TO POSTING 3- <br />Utility Account No. — <br />Permit Fee $ <br />Connectlon Charge <br />Trunk <br />Lateral <br />Total Connection Charge <br />Utility Development Fee <br />Water <br />Sewer <br />Tr it Development Fee <br />Sewer Bond District III <br />70.00 <br />$ 752.40 <br />$ —0— <br />$ 752.40 <br />$ 165.04 <br />$ 435.12 <br />$ 600,16 <br />Abutting Lot Line <br />NSEW 171' tt. <br />Approved By <br />Issued By mh <br />/ C a <br />Customer Signature <br />,'r <br />.on <br />Tate 11 spected <br />INSPECTION <br />29327 <br />