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.._.-:T.-.--.:.� „ ___. �----� -- - <br /> . ,. _.�- -- - _. <br /> ,�,. � -_T ._ _ _ <br /> ' - CHART NO. <br /> � <br /> ,; <br /> j _ "c� POSTING —c —� <br /> _ _ ,. - _ � � ;3 � <br /> , �_, <br /> _ �� • _ i; �10 �; �; <br /> `- . � ' . . : r . i .� <br /> R �� .�i <br /> � Sewer A lication and Permi �= �, " <br /> � pP � � ._, <br /> - _, �-; ,- _ = -' ^ 4� .� :, � <br /> � _ J � _ �: � 3 p I (,;: I <br /> , 297•l7 _ . _ , � - . : _> , <br /> DATE 5-�r,-94 � <br /> I <br /> � ServiceAddress 1i112 lst Ave SE ; <br /> Utility Account No. <br /> i Billing Address 19009 33rd Ave �: <br /> City, State,Zip Lynnwood 'dA 9Li036 Permit Fee $ 70.GO <br /> ' Ownef �rry Ftnch � <br /> i Connection Charge I <br /> Connection by Trunk $ 330.L�0 � <br /> � Address Lateral g --- <br /> � <br /> � Total Connection Charge $ �30.00 � <br /> I Phone Utility Development Fee <br /> ILegal Description: Water g 179.00 I <br /> i Lot Z SP C31-93 471.00 I <br /> Sewer g <br /> Block Total Development Fee $ ��50.00 <br /> I Plat <br /> � <br /> j Unplatted Description: Sewer Bond Disirict Por,a iII � <br /> Abutting Lot Line il <br /> I N,S, E, W ft. I <br /> i Type of Permit ��ew connection Approved By I <br /> � Remarks ' <br /> ' Issued By rfEt <br /> � — <br /> ' Customer Signature ; <br /> , IMPORTANT! I <br /> CALL 1-800-424-5555 48-HOURS <br /> ' PRIOR TO DIGGING <br /> CALL 259-8810 FOR INSPECTION Inspection By ���14 �Ul o� <br /> � Date Inspected � '�` `i 9— <br /> SEE SKETCH A7TACHED <br /> INSPECTION z �] l! �� <br />