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w:..,.zi.�R''; . <br />CHART NO. <br />�� I <br />�� <br />�: <br />�� <br />� :� <br />�' _;����= � � ��� <br />j �=� .j � �� �' v ;�; � � ^ i <br />�..��`5.- �.��c <br />... - . c � '_ _' .q � M f <br />� L'� <br />Sewer Applic�tion�and Pe,ri�'�;it�:; x � <br />.�.: ->: ; � .�-��.,w. <br />� �� �',�-�''s: �''-'- <br />' f..='t ��. �J �+ ��� W ' <br />4' ?.1i f�i '-L"'-� �� i:i � —. G [ _t .� '� ' <br />%9?1$ OATE �-II-�I-� <br />gervice Address ������o �"� hh ���� � Utility Account No. <br />237 ELM ST <br />Billing Address — <br />City, Stale, Zip <br />EVCRETT NA 9Q203 PermitFee $ <br />Owner SELECT HOMES INC Connection Charge <br />Trunk <br />Connection by <br />Address <br />Phone <br />Legal Description: <br />Lot <br />Block <br />Plat — <br />Unplatted Descriptlon: <br />Type of Permit <br />Remarks — <br />- <br />HANABROOK DIV 3 <br />NEh' CONNECTIUN <br />IMPORTANT! <br />CALL 1-800-424-5555 48-HOURS <br />PRIOR TO DIGGING <br />CALL 259-8810 FOR INSPECTION <br />SEE SKETCH ATTACHED <br />�^ P�!STING�u._i�-� <br />Lateral <br />Total Connection Charga <br />Utility Development Fee <br />Water <br />Sewer <br />Total Development Fee <br />70.00 <br />�.00 <br />179.00 <br />$ �.— <br />1 <br />$ j <br />179.00 I <br />$ _� � <br />llL7D <br />Sewer Bond District -�— <br />Aburiing Lot Line <br />tt. <br />N, S, E, W <br />Approved By. <br />Issued By.—.--- i � -'/yty��� <br />.Y AfiA�.�� <br />Customer Signature r'""" <br />Inspection By v � — <br />Date Inspected � '� <br />INSPECTION <br />, Z421S <br />