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, �� <br />�' Sewer Application and Permit <br />CHART N0. <br />i <br />TO POSTING 8-21-g�s I <br />'' ?'. C �'' DATE 9-Z-92 � I <br />� ServiceAddress Z2�6 116th St se. UlilityAccounWo. � <br />� Bllling Address po Rox 3014 <br />� <br />� City, Stete, Zip Everett WA ?8203 Perml� Fee $ ��� �� I <br />I Owner '�'ha Tredway Corp � ; <br />Connection Charge <br />� <br />I Connectlon by a'ner Trunk $ 330.00 i <br />I 395.00 <br />Address Lateral E - � <br />� TotalConnectionCharge S �z5'�� _ <br />iph��e 367-71A4 Utillry Development Feo � <br />; Legal Descriptlon: Water $ � 79 • �� <br />� Lot Sewer � 471.00 i <br />� <br />; Block Total Development Fee a 650.00 <br />Plat <br />Unplatted Description: <br />Type of Permit NEN CONNECTION <br />Remarks <br />IMPORTANTI � <br />CALL 1-800-424-5555 48-HOURS <br />PR�OR TO DIGGING <br />CALL 259-6810 FOR INSPECTION <br />Sewer Bond Dlstrict 11' <br />Abutting Lot Line <br />N, S, E, W <br />Approved By <br />Issued By �{ <br />Customer Sipneture <br />I�spection By <br />� � ' / <br />Date Inspected <br />SEE SKETCH ATTACHED , <br />INSPECTION <br />'�39� ' <br />R. <br />