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Ile <br />NO. <br />TO POSTING_. I f zg 93 <br />F ss s gss ass,. <br />M <br />Sewer Application and. etni <br />2 13 DATE 93 <br />Service Address <br />1427 Nanenu <br />11027 28ch SE <br />Billing Address <br />City, State, Zip <br />Everett WA 98208 <br />Owner <br />Gilbert Arndlev <br />Connection by <br />- )"-I C, -- <br />Address <br />— <br />Phone' <br />Legal Description: <br />Lot <br />Block <br />Plat <br />Unplatted Description: <br />Type of Permit <br />Remarks <br />Neu connection <br />IMPORTANTI <br />CALL 1-800-424.5555 48-HOURS <br />PRIOR TO DIGGING <br />CALL 259-8810 FOR INSPECTION <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 />224.00 <br />599.00 <br />817.00 <br />Sewer Bond District <br />Abutting Lot Line <br />N, S, E, W fl. <br />Approved By <br />Issued By <br />Customer Slgnatu ae� <br />d" <br />Inspection By <br />Date Inspected <br />SEE SKETCH ATTACHED <br />INSPECTION <br />21932; <br />