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CHART NO. -- <br /> TO POSTING�'� <br /> .x <br /> Sewer Application an`, �Perm�it F °g <br /> DATE 9/23/93 <br /> Service Address _ 104 580 P1 SW Utility Account No. — <br /> BillingAddress —237 F,Im St <br /> City, Stale,Zip _ Everett WA 98203 Permit Fee $ 70'00 <br /> Owner Select ltamos _ Connection Charge <br /> Connection by C Trunk $ <br /> Address Lateral $ <br /> Total Connection Charge $ <br /> Phone _ Utility Development Fee <br /> Legal Description: Water $ 179.00 <br /> Lot 43 Sewer $ <br /> Block Total Development Fee $ 179.00 <br /> Plat <br /> ULID /1 <br /> Unplatted Description: Sewer Bond District <br /> Abutting Lot Line <br /> N,S, E,W h, <br /> Type of Permit New connection Approved By <br /> gb � <br /> Remarks Issued By— <br /> Customer Signature <br /> IMPORTANTI <br /> CALL 1-800-424-5555 48-HOURS <br /> PRIOR TO DIGGING <br /> �lJnlx�i�i^ <br /> CALL 259-8810 FOR INSPECTION Inspection By <br /> Date Inspected <br /> SEE SKETCH ATTACHED <br /> INSPECTION 29429 <br />