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u <br />CHART NO. <br />TO POSTING.. <br />ppy�p R Rol <br />� egg <br />l q M N M J <br />Sewer Application and Permit <br />2 DATE 11-1-93 <br />Service Address <br />130 A6B 69T}i ST SE <br />Billing Address <br />6901 LOWER RIDCE RD <br />City, State, Zip <br />EVERETT WA 98203 <br />Owner <br />GREC OWENS <br />Connection by <br />Address <br />Phone <br />Legal Description: <br />Lot 4 <br />Block <br />Plat <br />Unplatted Description: <br />Type of Permit __ NEW CONNECTION <br />Remarks <br />IMPORTANTI <br />CALL 1-800-424-5555 48-HOURS <br />PRIOR TO DIGGING <br />CALL 259-8810 FOR INSPECTION <br />SEE SKETCH ATTACHED <br />Utility Account No. <br />Permit Fee $ 70.00 <br />_ <br />Connection Charge <br />Trunk <br />$ <br />Lateral <br />$ — <br />Total Connection Charge <br />$ <br />-0- <br />Utility Development Fee <br />Water <br />$ <br />261.00 <br />Sewer <br />$ <br />688.00 <br />Total Development Foe <br />$ <br />949.00 <br />Sewer Bond District <br />Abutting Lot Line <br />N, S, E, W <br />Approved By <br />Issued By <br />Customer Signature <br />NA <br />a. <br />Inspection By ;'�4 <br />Late Inspected <br />INSPECTION <br />29490 <br />ft. <br />