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I ; CHART NO. <br /> �n <br /> r" <br /> a <br /> o ryYryY n bb TO POSTING <br /> e ri <br /> Sewer Application tnd P _ t <br /> DATE 10/19/93 <br /> Service Address 118 58th PlSH <br /> Utility Account No. <br /> Billing Address 237 61m St <br /> City, State, Zip __Everett WA gp2na <br /> Owner - <br /> i <br /> Permit Fee $ 70.00 - <br /> S� L <br /> S Connection Charge <br /> Connection by <br /> Trunk $ <br /> Address <br /> Lateral $ <br /> Total Connection Charge $ -0- <br /> Phone <br /> -- Utility Development Fee <br /> Legal Description: <br /> f Water <br /> Lot 4'+ $ 17++.op <br /> Sewer <br /> 4 Block $ i i 9.nn.(lo <br /> Total Development Fee $ <br /> Plat {tan-hrook Div 4 <br /> Unplatted Description: I <br /> Sewer Bond District hLII, c 1 <br /> f <br /> - Abutting Lot Line <br /> Type of Permit Now connection S. E. W ft. <br /> Approved By <br /> Remark: — <br /> Issued By Rb I <br /> CustomerSlgnature i�. 1 • <br /> IMPORTANTI <br /> CALL 1-800-424-5555 48-HOURS <br /> PRIOR TO DIGGING <br /> CALL 259.8810 FOR INSPECTION Inspection By—_ <br /> Date Inspected /-e, - Vy <br /> SEE SKETCH ATTACHED <br /> INSPECTION <br /> 29461 <br />