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n:a...,.rYr1TaT»..y+r.�;...:-eer.�....,r..�.;.,,...;,-.�....: ... .,. .: . .-. , . <br />� <br />�- <br />�� <br />� <br />� <br />� <br />r s�� <br />o ��� <br />e :.� <br />Sewer Application a�c� P�rmit <br />,� ��yJ� � <br />` E (Il � V <br />,= 24136 DATE a �-i-93 <br />Service Address 421 49th Se SV <br />Bflllrp Address neme <br />City, SYate, ZJp Everete Va 98203 <br />�,�� ]amee Seeor <br />Connecllon M' '�"'r''�'�'Y ��� <br />Addreas ��9 <br />Ib:�W <br />Plane ��' <br />Legal Descr(ptlon: <br />Lot — <br />Bbdc <br />Plet <br />Unplatted DescripUon: <br />Type o� Permit N�v connuccion <br />Remarks <br />IMPORTANTI <br />CALL 1-800-4245555 48-HOURS <br />PRIOR TO DIGGING <br />CALL 259-8810 FOR INSPECiION <br />Utlliry Account No. <br />_:.,rt, . , <br />CHART NO. <br />m nncriNr, .�,L �3 <br />PermitFee $ 70.00 <br />Connection Charge <br />Trunk � S <br />Laterai 8 <br />Total Connection Charge $ <br />Utility Development Fee <br />Water $ <br />Sewer g SA9.00 <br />Totai Development Fee $ 589.00 <br />Sower Bond Distrid <br />Abutl'ng Lot Line <br />N, S, E, W ti <br />Approved By <br />Issued By ( " �� <br />., : <br />CustomerSipnature` � - f a'�� <br />Inspectlon By ��� <br />Datelnspeqed 1�•-t3'S� <br />SEE SKETCH ATTACHED <br />INSPECTION � � � 2 913 6 <br />