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P <br />� pp p pp pp pp <br />W <br />Sewer Application and Prit <br />2/93 <br />DATE �1 <br />4602 W View Dr <br />Service Address <br />Billing Address 4708 W View Dr <br />City, State, Zip Fverett WA 96203 <br />Ownery+s h r 15 Std r <br />Connection by <br />Address <br />Phone _ <br />Legal Description: <br />Lot <br />28 <br />Block <br />Plat View Acres Div 2 <br />Unriatted Description: <br />Type of Permit <br />Remarks — <br />New connection <br />IMPORTANTI <br />CALL 1-800-424-5555 48-HOURS <br />PRIOR TO DIGGING <br />CALL 259-8810 FOR INSPECTION <br />Utility Account No. <br />;HART NO. <br />TO POSTING � <br />Permit Fee $ — <br />Connection Charge <br />Trunk $ <br />Lateral $ <br />Total Connection Charge $ <br />Utility Development Fee <br />Water $ <br />Sewer $ <br />Total Development Fee $ <br />Sewer Bond District <br />Abutting Lot Line <br />N, S. E, W — <br />Approved By <br />Issued By <br />Customer Signature <br />Inspection By _ <br />Date Insrect(.d <br />7. ze'' .93 <br />c0 <br />0.00 <br />179.00 <br />471.Uo <br />650.00 <br />SEE SKETCH ATTACHED 29211 <br />INSPECTION - <br />ff. <br />