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Sewer Applicat <br />�9307° <br />n <br />b <br />z <br />0 <br />n pp ��tt <br />Oo t i N <br />{ao <br />ion and FeOpU <br />p <br />ft <br />DATE 2-22-93 <br />Service Address 9907 19th Ave SE <br />Billing Address <br />City, State, Zip Everett 14A 98208 <br />Owner Church of Christ of: Silverlake <br />Connection by <br />Address <br />Phone <br />Legal Description: <br />Lot <br />Block <br />Plat <br />Unplatted Description: <br />Type of Permit t+ou connection <br />Remarks <br />IMPORTANTI <br />CALL 1-800-424-5555 48-HOURS <br />PRIOR TO DIGGING <br />CALL 259-8810 FOR INSPECTION <br />SEE SKETCH ATTACHED <br />Utility Account No. <br />—r 7--77 _ <br />CHART NO. <br />TO POSTING <br />Permit Fee $ 70.00 <br />Connection Charge <br />Trunk $ 330.00 <br />Lateral $ 395.00 <br />Total Connection Charge $ 725.00 <br />Utility Development Fee <br />Water $ — <br />Sewer $ — <br />Total Development Fee $ — <br />Sewer Bond District <br />Sony; HT <br />Abutting Lot Line <br />N, S, E, W _ <br />Approved By _ <br />MI: <br />Issued By <br />Customer Signature <br />223.30 <br />223.30 <br />inspection e <br />Date <br />- 29�79 <br />INSPECTION <br />ft. <br />