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r----------- - -- ----- <br /> — -- --- <br /> -- ------ —, <br /> I <br /> CHART NO. � <br /> � I <br /> i <br /> :� <br /> j �_ , , � ;= � ; �� -:_ :'C� POSTING�s -�S�-�s� <br /> � „ <br /> , _ �- ,� :: �' <br /> Sewer Applicatior�' and� Permit � <br /> , � ' �J , '3 — �_l W .� o <br /> � ' � i 3 ) ! JJ I <br /> j _ <br /> ! 2 ?^ , 6 ,� - ,_ �s : �� _- <br /> � DATE 8-l0 9z <br /> � <br /> SeNice AddresS 88-Z AIICD 3rd Ave SE <br /> Utiliry Account No. <br /> � Billing Address 8818 3rd Ave S£. <br /> I Cfty, Stete, Zip E�erett Wp 98208 <br /> PermitFee $ 70.00 <br /> Owner $ill 8ourland <br /> � Connection Charge <br /> � Connectfon by ��z Trunk g 541.20 � <br /> Address <br /> � <br /> Lateral $ 648.2i i � <br /> � Total Connection Charge $ 11A9.41 � <br /> Phone 353-8522 i <br /> Utility Development Fee <br /> Legal Description: i <br /> Water $ 460.00 � <br /> Lot Z of 5hortplat 13-85 i <br /> Sewer $ 1?12.00 <br /> Block � <br /> Total Development Fee a 1672.U0 I <br /> Plat <br /> Unplatted Description: I I I � <br /> Sewer Bond District <br /> � Abutting Lot Line I <br /> i N,S, E�W 123 ft. <br /> TypB Ot Petmit N� CONNP.CTION <br /> Approved By I <br /> Remarks Issued By MH <br /> Customer Signature '--''�-''�`"'"�'-" I <br /> � � <br /> , IMPORTANTI i <br /> I <br /> i CALL 1-500-424-5555 48-HOURS <br /> � PRIOR TO DIGGING <br /> � CALL 259-8810 FOR INSPECTION Inspection B I <br /> i Date Inspected � <br /> � <br /> J S'�E SKETCH ATTACHED j <br /> � INSPECTION ' � R�� j I <br /> I ---- <br />