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. . _ - _ '....�. :^�.�:��r.:.:.........,..`ys., ,:nw� . . . "' .1 <br /> .,,y.. . .. .� ' , � y�• 1;rn,r.-i•�..�.:.F:t+:;.dh 'ipn. . . <br /> . CHART NO. I <br /> � TO POSTING S-��.-� <br /> � � � � � � � � � �� ; � � <br /> r .,, " . I <br /> � � : � � � � � G � . G -= r <br /> r � . .:. � . :_ r� <br /> �� �,i ti M -F t� r T� � <br /> ��j iF ,"�a, �,� r 4` � ui <br /> Sewer A p plicatio��ahd Permi� `� �� . I <br /> z,. u- � �.1 G. �j C' � � <br /> �� 34 :�� �; L -� u' �i Y`y � r � � `p L: �_ � I <br /> �� U . J U'_J, y J y1 � �. Y J � � :tt �� �� iJ I <br /> `�' `3�1�3/44 <br /> ': 23575 DATE <br /> Service Address 5612 lat Dr W Utility Accou�t No. 4 <br /> Billinp Address 237 Elm 9t , <br /> City,State,Zip <br /> Evarett 9B203 PermitFee $ 70.00 <br /> ��� c�i.c aems. Connection Cha�ge <br /> Connectionby SC � Trunk $ <br /> Address Lateral $ <br /> -a <br /> Total Connection Charye $ <br /> Phone Utflity Development Fee <br /> Legal Descriptlon: <br /> Water $ 179.00 <br /> �� 9, Hannbrook Div 4 Sewer $ <br /> Bbck <br /> Total Development Fee $ 179.00 <br /> Piat �� �1 <br /> Unpletted Descriptlon: Sewer Bond Dislrict <br /> Abutting Lot Line <br /> NSEW ft. <br /> Type of Pertnit New eonneciion Appraved By <br /> gb <br /> Remarks •Issued By <br /> Customer Signature <br /> IMPORTANT! <br /> CALL 1-800-424-5555 48-HOURS <br /> PRIOR TO Dlu'GING - - <br /> Inspection By ���e%"""� <br /> CALL 259-8810 FOR INSPFCTION � /f. <br /> • Date Inspected �-- <br /> � SEE SKETCH ATTACHED ,.,n 2 9�7 r <br /> INSPECTION • <br />