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e <br />, <br />.. . . . .� _.�1'Tw'.��' �..� <br />Mp. <br />C7 <br />.+ <br />YC <br />� p p p p p p <br />8 O O O O O � p S <br />a Q� � � <br />.: �' � �p �a no�� <br />� r+ <br />"^ N M M P M M M <br />Sewer Applicatio � P <br />�'��q�1¢�}Y ��� � �_y <br />= F��j� ��p({ <br />.r_3 3:d �V! .�. �N ..e:ie ��i L <br />..� 2 9 3 3 7 D�TE 7-14-93 <br />Service Address 1720 CD 121at St SE <br />B(Iling Address PO Box 2702 <br />Clty, Stete, Zip Lynnwood WA 98036 <br />Owner Bill Guotevoon <br />Connection by Cuataveon Conetruction <br />Addresa <br />Phone 788-6920 <br />Legal Description: <br />Lot <br />Block <br />Plet <br />Unplatted Descriptlon: <br />Type of Permit new connecelon <br />Remarks _ <br />IMPORTANTI <br />CALL 1-800-424-5555 48-HOURS <br />PRIOR TO DIGGING <br />GALL 259•8610 FOR INSPECTION <br />SEE SKETCH ATTR.CHED <br />Utll(ty Account No. <br />N0. <br />Pe�mit Fee $ 70.00 <br />Connectlon Charge <br />Trunk <br />Lateral <br />Total Connectlon Charpe <br />Utility Development Fee <br />Water <br />Sewer <br />Total Development Fee <br />a <br />a <br />a <br />$ <br />$ <br />a <br />-o- <br />261.00 <br />68A.00 <br />949.00 <br />.N.�n*_ n.:... <br />Sewer Bond District <br />Abutlinp Lot Llne <br />N'S�E�W ft. <br />Approved By <br />Issued By � _ , , <br />Customer Slgnature;� "�• � � � � . i ' �: : , 7/' :�': i <br />r <br />Inspection By _ <br />Date Inspected <br />INSPECTION <br />2933? <br />� <br />