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i <br /> fi <br /> r <br /> ma, row— <br /> u <br /> �= CHART NO. <br /> gr <br /> 8 <br /> o g TO POSTING <br /> Sewer Application anlIyer 'mit <br /> ' <br /> 99539 <br /> DATE 12-1-03 <br /> Service Address 112 58th P1 SW Utility Account No. <br /> Billing Address 237 Flm St <br /> City, State, Zip Everett WA 98203 Permit Fee $ 70.00 <br /> Owner Selnct Homen Connection Charge <br /> Connection by SCE Trunk $ <br /> Address Lateral $ <br /> Total Connection Charge $ <br /> Phone Utility Development Fee <br /> Legal Description: Water $ 179.00 <br /> Lot 64 Hannbrook 4 --- <br /> Sewer $ <br /> Block Total Development Fee $ 179.00 <br /> Plat <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 /> Remarks Issued By MMI <br /> Customer Signature <br /> IMPORTANTI <br /> CALL 1-800-424-5555 48-HOURS <br /> PRIOR TO DIGGING <br /> CALL 259-8810 FOR INSPECTION Inspection By. o- <br /> Date Inspected <br /> SEE SKETCH ATTACHED <br /> INSPECTION <br />