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x� <br /> . . - .� ,�.,�o ^i.i �i.'�Eva`a{�.�� v 1�.�. �'.in��l �'�Y.i.'j'i;-;'.�{�T�!�`�'�1;.,_`�:l: a.r�p`..., .�.K6'W:,t+..,;.,a..tij�i�A,)°��1t�S�"'.'��ri`,!.',�Y�',+.'lii6'iNii�l'',' <br /> CHART NO. <br /> TO POSTING $'�g��s <br /> I��� -� <br /> - - � � � <br /> - _ ' .., o '� � <br /> " '' � �_ <br /> _ :r � ,- ., _ � : <br /> Sewer Application a�c��Permit1� �� c �� �` <br /> �. :_. "_ _ f, � �, � � � - , <br /> .. : .:. _ O � :- W <br /> � ,� _� i:, ' - " C� —� �.� <br /> � 2 9 6 3 9 DATE �-3-04 _ ,.. _ <br /> Service Address 4729 Senhurec Ave Utility Account No. <br /> BillingAddress r+801 Sr.nhurnt Ave <br /> City, Stete, Zip Everett WA 98203 pe�mit FBe $ ��•�� <br /> Owner char.ies Jollev Connection Charge <br /> Connection by °f�"��r Trunk $ <br /> Address Lateral $ <br /> Total Connection Charge $ '�— <br /> Phone 25z-104n Utility Development Fee <br /> LegalDescriptfon: Water $ 224.00 <br /> Lot z Short I'lat 811-99 Sewer a 589.00 <br /> B��k Total Development Fee $ 813.00 <br /> Plat <br /> Unplatted Descrfption: Sewer Bond District <br /> Abutting Lot Line <br /> N, S, E,W ft. <br /> Type of Permit new connection Approved By <br /> Remarks Issued By M� <br /> Customer S(gnature _ <br /> IMPORTANT! <br /> CALL 1-800-424-5555 48-HOURS <br /> PRIOR TO DIGGING / <br /> CALL 259-8610 FOR INSPEC110N Inspection By �G'y�����'^ <br /> Date Inspected �8-��y <br /> SEE SKETCN A7TACHED <br /> INSPECTION '. Z S �3� <br />