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L <br /> CHARI NO. <br /> I <br /> , <br /> TO POSTING.. 8-A?±3 <br /> 1 N <br /> ti [ ♦1 N N N <br /> Sewer Applica ailor�n a� <br /> 9 gGJi L � f•- ?K S N rCl <br /> l Y��" <br /> 291 �' �' DATE S-h-43 <br /> Service Address 2'S�/� /' Utility Account No. <br /> Billing Address 237 ELM ST <br /> City, Stale, Zip EVERETT WA 98203 70.00 <br /> Permit Fee $ <br /> Owner SELECT HONES Connection Charge s <br /> Connection 6y E— Trunk <br /> Address — Lateral <br /> ----- — Total Connection Charge $ n_nn <br /> Phone Utility Development Fee <br /> Legal Description: p Water $ 179.00 <br /> Lot 3/ Sewer $ 179.00 <br /> Block —__ Total Development Fee $ <br /> Plat —. HANABNOOR DIV 3 <br /> Unplatted Description: _ Sewer Bus i DisMULIDct . <br /> Abutting Lot Line <br /> - N, S. E, W <br /> Type of Permit _ NEW CONNECTION Approved B <br /> - PP Y- — <br /> Remarks _ _ Issued B <br /> — /- <br /> -- Customer Signature ' j a,..__ <br /> IMPORTANTI <br /> CALL 1-800-424-5555 48-HO ;RS <br /> PRIOR TO DIGGING <br /> CALL 259.8810 FOR INSPECTION Inspection By lQdPl'uan <br /> Date Inspected <br /> SEE SKETCH ATTACHED <br /> INSPECTION 7 5 19 7 <br />