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r� � . . <br /> CHART NO. <br /> L� <br /> �' �'� POSTING JUN 1 2 1998 <br /> liir � <br /> ;, � s � � � � � � � e� <br /> � <br /> �-J �4 f1 O 7 CI p p nt <br /> o �a rr. �n .•. <: r� r u� n in <br /> Ll a: .:� n: .. � � .a f <br /> ! . � 1 <br /> Sewer Application �n`ii Pr� er�n� � ;R <br /> �, <br /> �'� n r_� CJ1l.1�� � 45 � � �LL .'� � �� W <br /> J �C L '�i S wi: it 3? c� ,�-� �t � <br /> �9�� 1 DATE G 6-IS-94 <br /> Service Address 4515 Foreet Dr Utility Account No. <br /> Billing Address 4521 Foreat Dr <br /> Cfry, State, Zip Everett NA 98203 Permit Fee $ 70.00 <br /> Owner Darcy Hai�ley Connectfon Charge <br /> Connection by Trunk $ <br /> , Address Lateral $ <br /> Total Connection Charge $ -� <br /> Phone Utility Development Fee <br /> Legal Descrip;ion: Water $ 179.00 <br /> L�t Sewer $ 471.00 <br /> Block Totsl Development Fee $ xQxl b50.00 <br /> Plat <br /> Unplatted Description: Sewer Bond District <br /> Abutting Lot Lfne <br /> N, S, E,W ft. <br /> Type of Permit new connection Approved By <br /> Remarks Issued By ''� <br /> Customer Signature <br /> —" IMPORTANT! <br /> �— <br /> CALL 1-800-424-5555 48-HbURS� <br /> PRIOR TO DIGGING <br /> CALL 259-8810 FOR INSPEC710N /1� �nspection By ��-p� <br /> Date Inspected <br /> SEE SKET�H ATTACHED <br /> INSPECTION "° 2�7� � <br />