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CHART NO. ------ <br />TO POSTING <br />�apssay8 <br />� syp��pNN�p. <br />In� •Ja M � 4 <br />�No <br />Sewer Application <br />and <br />Permi _-� <br />r,� <br />2 90 41 DATE <br />1-21-93 <br />Service Address 4112 Grand Ave <br />Billing Address r0 Box 1354 <br />City, State, Zip Stanwood WA 98292 <br />Owner Hodnev A Seanette Hlgelow Connection by x-iel <br />Address <br />Phone _ 187-7479 <br />Legal Description: <br />Lot 13 A 14 <br />Block <br />mm <br />Unpladed Description: <br />Type of Permit <br />Remarks <br />New connactinn <br />IMPORTANTI <br />CALL 1-800-424.5555 48-HOURS <br />PRIOR TO DIGGING <br />CALL 259-8810 FOR INSPECTION <br />SEE SKETCH ATTACHED <br />Utility Account No. <br />Permit Fee $ 70.00 <br />Connection Charge <br />Trunk $ <br />Lateral $ <br />Total Connection Charge $ <br />Utility Development Fee <br />Water $ <br />Sewer $ <br />Total Development Fee $ <br />179. <br />471. <br />00 <br />Sewer Bond District T (retired) <br />Abutting Lot Line <br />N, S, E, W �• <br />Approved By <br />Issued By 4H <br />i <br />Customer Signature.��' <br />Inspection By <br />Date Inspected 9 j <br />INSPECTION <br />251141 <br />