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�f„'F'Fa��,. „ ,,. ��+pp�er"'s'`�.T7�'vans-. M .�. , . �a.16fr . � . ,.o� . , .,. . , � ,-r-,-t. <br /> .' <br /> ' CHART NO. i <br /> i <br /> � <br /> � <br /> �' <br /> �=, °'ff POSTINGl�� a� - �S <br /> � <br /> �: ; <br /> - . .: � <br /> Sewer Application and P�er�mit � <br /> � �_ <br /> b `J FJ <br /> I ' 2 9714 ;_s; . ., <: i <br /> ` DATE 4-14-94 <br /> Service Address 2519 Onkea Ave Utility Account No. -. � <br /> i <br /> Bflling Address Z531 Oakea Ave , <br /> i <br /> Cily, StBte,Zip Lverett WA 98201 Permit Fee $ ��•�1� I <br /> ��ef Llvir.g Word Chris[irn Center � <br /> Connection Charge � <br /> C0��6Cti0�by Coniers[one Plumbinq Trunk $ � <br /> � <br /> AddfBSS Lflt9fel $ j <br /> i <br /> Total Connection Charge S <br /> Phone Utilfty Development Fee <br /> Legal Description: Water y <br /> Lot Sewer Z � <br /> ( B� Total Development Fee S <br /> Plat ! <br /> Unplatted Des�;dption: Sewer Bond Disfict j <br /> I <br /> — Abutting Lot Line <br /> i <br /> — N, S, E, W g, i <br /> Typ6 of Permlt new connection Approved By I <br /> Remarks Issued By '��' <br /> Customer Signature ' <br /> IMPORTANTI � � //Py �NN�r.���� ' <br /> CALL1-800-424-5555 48-HOURS �o� / On <br /> PRIOR TO DIGGING ��� �nNe a,,, <br /> CALL 259-8810 FOR INSPECTION ��spection B �6�' Q� �akse (.(N�u�}4, <br /> IDate Inspected �o - L -9i y <br /> I <br /> ' SEE SKETCH ATTACHED <br /> I <br /> � INSPECTION :' 2 J 7 i +'� <br /> , <br /> I <br />