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� r <br />mtroH <br />10 A m <br />C ti <br />H z � <br />K n <br />H O C 0 <br />ro�.ro <br />N H <br />a:z ro o <br />O N <br />z n o <br />n 0 <br />H � C <br />Z H (b <br />H <br />0 n <br />n �7 n <br />C <br />` En <br />z0ur <br />H O V: <br />low -AM <br />AftL AFAW <br />Sewer Application and Permit <br />'89�2 <br />DATE 11-6-92 <br />Service Address <br />10814 i::L A.e SL <br />Billing Address <br />came <br />City, State, Zip <br />Everett WA 982W, <br />Owner <br />dhoehouse School <br />Connection by <br />DEB Plumbing <br />Address <br />3508 Upland Ave <br />Everett WA 98203 <br />Phone 348-7298 <br />Legal Description: <br />Lot <br />Block <br />Plat <br />Unplatted Description: <br />Type of Permit New connectim, <br />Remarks }!k9fS1 LID No. 730 <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 />CHART NO <br />TO <br />Utility Account No. _ <br />Permit Fee $ 30.00 <br />(per letter to owners) <br />Connection Charge <br />Trunk <br />$ <br />Lateral <br />$ <br />Total Connection Charge <br />$ <br />Utility Development Fee <br />Water <br />$ <br />Sewer <br />$ <br />Total Development Fee <br />$ <br />Sewer Bond District <br />Abutting Lot Line <br />N, S, E, W ft. <br />Approved By Brian Jonen <br />Issued By rilt <br />Customer Signature <br />l I <br />Inspection By <br />Dale Inspected 1 <br />i <br />INSPECTION 2 8 Q 6 A 1 ' <br />