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•;.. 1\"\�,j�.it' Y�,. �" ^�\ Y1v,�441'T�1'�Ni Nin�r•IyM �.1. iv\ I\T. ���� ' <br /> CHART NO. —_—_ <br /> A <br /> d <br /> TO POST!P!G....� g� <br /> Sewer Application Arid Per M <br /> L, <br /> 2 9 5 06 DATE _ 11/8/93 <br /> 1 32 59th P1 SW <br /> Service Address — Utility Account No. <br /> Billing Address 237 Elm St .� <br /> City,State,Zip Lverett WA 98103 Permit Fee $ 70.00 <br /> Owner Select liomes Connection Charge <br /> Connection by (5F— Trunk $ <br /> Address Lateral $ <br /> Total Connection Charge $ '0' <br /> Phone Utility Development Fee <br /> Legal Description: Water $ 179.00 <br /> Lot Lot 03 lianabrook Div 3 Sewer $ <br /> Block Total Development Fee $ 179.00 <br /> Plat <br /> Unplatted Description: Sewer Bond District ULID #1 <br /> Abutting Lot Line <br /> N,S, E,W h• <br /> Type of Permit New connection Approved By <br /> Remarks _ Issued By ltb <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 <br /> Date Inspected <br /> SEE SKETCH ATTACHED <br /> INSPECTION 2 9 5 0 5 <br />