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RT'4ti��fl- �", � :'f�:'i,.-`Mj.:..-,5�;:"��,-:'7'-!'r:?":�.-411.5'` . J .i .;.1� v ..� „ r� <br /> . _ <br /> ,.I <br /> - CHART NO. 1 <br /> i <br /> i <br /> „ I <br /> �, <br /> y- <br /> C I <br /> 1 <br /> � h I <br /> �,, � �: TO POSTING�-�- 9y <br /> � _ <br /> �� . <br /> y �. <br /> Sewer Application anc� �r_mit , <br /> O '� 3 'y.l I <br /> : '^ 29787 � � `� t <br /> DATE 7-1-94 � <br /> ,i <br /> S6rvICe AddreSS 1102 Rockefeller Ave Ut(lity Account N0. j <br /> Billirg Addresa � <br /> Clty, Stet9,Zfp Everett NA 98201 � <br /> PermitFee $ 3o.n0 � <br /> p�e� Thomna A Holacine Connectfon Charge I <br /> ConnecNonby -- �� - N� ^/,thl- /�lN�..6�„� Tn;nk y <br /> Address Lateral <br /> a <br /> i <br /> Total Connectbn Charge a I <br /> Phone Utility Development Fee ' � <br /> Lepal Deacriptbn: Water a I <br /> lot <br /> Sewer a i <br /> � Total Devebpment Fee a � <br /> Plat <br /> Unpletted Description: � <br /> Sewer Bond District <br /> Abutting Lot Line <br /> N� S� E� W ft. <br /> Type of Permit 81ter•stion Approved By <br /> I <br /> Remarks connec[inp to never at new location �SSUBd By � � � � <br /> � <br /> i <br /> Customer Signature � <br /> IMPORTANT! � <br /> I <br /> CALL 1-800-424-5555 48-HOURS � <br /> PRIOR TO DIGGING ��� ; <br /> i <br /> CALL 259-8810 FOR INSPECTION �nspection By - <br /> Date Inspected �-7- I <br /> I <br /> SEE SKETCH ATTACHED i <br /> INSPECTION , '3 2 g]$] ! <br /> i <br />