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�"'__""-R"�'T.= .«� r� .��,; —'T�-*.;:Z <br />s�r,-i�""" - <br />� <br />� <br />� _ <br />� <br />7�r, -�c��:-•f=-.: r %a*�g: r"s.vct?.;�=�rt•;aR-+.����.- <br />, <br />CHART NO. '� <br />:M TO � - --_... „ <br />�� ,;,' , <br />�����i7' y <br />�� i � ?a �ti fti 'n S'� .�'� �,' `�' '^ � ' �i :' :`3 `L� <br />i..� _i . _ � � <br />ji r1 I� G_ _ '::J Q p� [� O_l J- p � <br />t ' C_ . ' '• � - _ ��� -I ,� - p7 (�J <br />..1 r. ��'� M <br />Sewer Applicatio�� �an�! �Q��� �t �t� __ � " <br />ri i� l:i ,n r C.'t �< 3:' ��(_� �-.� -•. ��' r:i C� W�l <br />� c� � v� '� C. � �� -�'t� f- lst � 4� C.� i �. (_,i =d W <br />! l 1�; � y,� '. 1,�, . t ��} � J J I 41 J c!�1 I.� S <br />' 293i? DATE o/l0/93 ._ - - <br />tl012 Beverly Ln <br />Service Address — Utility Account No. <br />Bflling Address _ 13901 tleatherwood llc <br />City, State, Zfp t(ill Creek WA 98012 pyrmit Fee $ <br />Owner _ Polk Builders Inc Connectlon Chargo <br />Connection by Trunk $ _ <br />Address Lateral $ <br />Phone <br />Legal Description: <br />Lot � <br />Block <br />Plat SY �8-93 <br />Unpialted Description: <br />j Type of Permit New conaection <br />! Remarks <br />IMPORTANT! <br />CALL 1-800-424-5555 48-HOURS <br />PRIOR TO OIGGING <br />CALL 259-8810 FOR INSPECTION <br />SEE SKETCH ATTACHED <br />Total Connection Charge $ <br />Utility Development Fee <br />7U.00 <br />Water $ 179.00 <br />Sewer $ 471.00 <br />Total Development Fee $ bso. 00 <br />� � � �� ��� � <br />! <br />Sewer Bond Disirict _ <br />Abutting Lot Lfne <br />N, S, E, W_ h. <br />r <br />Approved By _ <br />Issued By gb <br />CustomerSignature�� � � <br />Inspectfon By � "`� /P'`�'" <br />Date Inspected �"���� f <br />INSPECTION <br />c�.9�0� <br />