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Sewer Appl <br />,'. 29317 <br />' . �" . � � . .. ' _ ' . , r �� — ..--.1 — <br />_ CHART NO. T � <br />' P <br />`" Tl� P <br />�� OSTING�-�_, ��___� ___ <br />� <br />t �����;� � = s�� <br />- �, ;p � � N � G1 M � O <br />.r d <br />M M a f-) <br />ti � <br />ication an� �P�rm(�i� _ � �: �p � F� :� <br />� � OJC�.J]r�b�C�i�(�G O¢��1r "C <br />> �. �. <br />i=' <br />� f� tL� L L] N O�t � _ � .-� :? <br />DATE 6-23-93 <br />Service Address 5924 4th Dr 'a <br />BlllfngAddress 237 P.lm Se <br />City, Stete, Z(p Everett YA 98203 <br />Dyy�@� Select Hones <br />Connection bv o�mtlT�� E <br />Address <br />Phone ZSB-15J3 <br />Lsgal Description: <br />Lot 9 Hann tc <br />Block <br />Plat <br />Unplatted Description: <br />3 <br />Type of Pertnit new connection <br />Remarks <br />IMPORTANT! <br />CALL 1-800-424-5555 48-I10URS <br />PRIOR TO DIGGING <br />CALL 259-8810 FOR INSPECTION <br />Utility Account No. <br />.: cK <br />Pertnit Fee $ 70.00 � <br />Connecqon Charge <br />Trunk $ <br />�', <br />Lateral $ <br />�otal Connection Charge $ -�- <br />Utility Development Fee <br />Water $ 179.00 <br />Sewer $ -�- <br />Total Development Fee $ 179.00 <br />Sewer Bond Disirict NA <br />Abutting Lot Line <br />N, S, E, W tt• <br />Approved By <br />Issued By � <br />i i�'- <br />CusromerSignature l��-*'<-�'-�' : �'• � <br />Inspection By �ti `�°/1�/7 <br />Date Inspected �� -� - �� <br />u <br />SEE SKETCH qTTACHED <br />INSPECTION : z 9 3 � % <br />