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- --• - . . ... _ _ ---� _ _ � -_ �. _ . . - - <br />�--s�-^-�--�, �,. .. . , <br />Sewer Appl <br />�.. z���% <br />CHART N0. <br />. TO POSTING —z�c— � <br />i, Q i C � <br />�� r�'� ` ti� �.ni. 4' �'� i.., '� �� <br />r� ' p q G? <br />- i�� • p �� i b l C^ <br />.. . .. .r .. f � �n .A � � <br />r <br />� �. � � � �� � � <br />ication ar�d:� Perrn��t�� , � � ._, ._ <br />, <br />;_ ��., �, .�,T� _ „ <br />.O '� r.�. c � � J C] f w <br />47 1 J 1 lJ ` 1 -. Ci *.[ 0,'r . <br />nwre "5-7-93 <br />Service Address �313 75ch St 3F; <br />Bllling Address po Box 769 <br />I Clty, Slete, Zip Mukilteo HA 98275 <br />Owner 'frigny Corp <br />I <br />; Connectlon by <br />� Address <br />Phone 353-3158 <br />� Legei Description: <br />'� �� Lot 2 of SP 1202-16-SO <br />� <br />I Bluck <br />I Plet — <br />I <br />Unplatted Descdption: <br />� <br />ii <br />Type of Permit <br />Remarks _ <br />I, <br />Nev connection <br />IMPORTANT! <br />CALL 1-800-424-5555 48-HOURS <br />PRIOR TO DIGGING <br />CALL 259-BB10 FOR INSPECTION <br />SEE SKETCH ATTACHED <br />Utility Account No. <br />Permit Fee $ 70.00 <br />Connectlon Charge <br />Trunk $ <br />Lateral S <br />Total Connection Charge $ <br />Utility Development Fee <br />Water $ <br />Sewer $ <br />Total Developme:it Fee $ <br />270.00 <br />450.00 <br />720.00 <br />179.00 <br />47I.00 <br />650.00 <br />-'i <br />Sewer Bond Dlstrict T I iil <br />Abutting Lot Line <br />N S E N — n <br />Approved By � <br />MN - '_ \ <br />Is:ued By <br />�'�� � --- <br />CustomerSignature.��'_ �`_ <br />✓ ' ' i <br />Inspection By �� G��'a���+` . �� <br />Date Inspected �- Z— <br />�I <br />INSPECTION 2� 2 Q 7 <br />