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u <br />N <br />CHART NO. <br />TO POSTING_3_k-u-L/ <br />g gs'�s�g s ss� <br />t` o nj t? R <br />Sewer Application an � Permit <br />29502 DATE 11-4-93 <br />Service Address 26 - Slat St SW <br />Billing Addrer 3 1821 19th Dr <br />City, State, Zip Mukilteo WA 99275 <br />Owner Alfred Jubie <br />Connection by Owner <br />Address <br />Phone 290-1456 <br />Legal Description: <br />Lot 6 ahortplat 35-90 <br />Block <br />Plat <br />Unplatted Description: <br />Type of Fermit <br />Remarks <br />new connection <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 />Connection Charge <br />Trunk $ <br />Lateral $ <br />Total Connection Charge $ <br />Utility Development Fee <br />Water <br />$ — <br />Sewer <br />$ — <br />Total Development Fee <br />$ — <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 />Inspection By S "IM+A <br />Date Inspected 11 If' S3 <br />INSPECTION <br />-0- <br />179.00 <br />471.00 <br />650.00 <br />29502 <br />ft. <br />