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' '`�:'� i.. .r... l. �. ..Ms T�, w. . ...yy�1w ) . , (-J11yt <br /> \ <br /> � CHART NO. <br /> � <br /> W <br /> fl <br /> � TO Pn�ri�r, 5-y3-9 <br /> � � sgs � g sss <br /> � �OP � � f�l o(� L fJ <br /> Q - M M M .p M N � 3 <br /> Sewer Application �ar�d Per�n � k, " <br /> o � � � � � <br /> � ����� m � � � � <br /> i :':• 2 9 5 3 4 pp� " . <br /> 6Y22 Cady Rd I <br /> Service Address Utllity Acxount No. <br /> BIIIinp Address 15009 40eh Av� W ` <br /> City,State,Zip L7navood UA 98037 _ permit Fee S ��•� <br /> pw�� no�omruleh conec Connectlon Cherpe � <br /> Connectbn by Trunk S <br /> Addreas Lateral t <br /> Tote�Connectlon Cherpe S -0- <br /> Fhone Utillty Development Fee <br /> Lepel Deecriptbn: Water S _� 179.00 <br /> 1 <br /> Lot $eyyg� f � 471.00 <br /> Blodc Total Development Fee s_ 650.00 <br /> Plat I <br /> Unpl�tted DsecripHon: Sewer Bond Diatdct <br /> Abuttlnp Lot Line � I <br /> \ <br /> N,S, E,W �. <br /> Typs ot Pertnit li�r coa.exuceioa Approved By � ���""' � <br /> Remerks laeued By gb <br /> Cuatomer Spneture <br /> IMPORTANTI <br /> CALL 1-600-424-5555 48-HOURS <br /> PRIOR TO DIGQING <br /> CALL 209-8d10 FOR INSPECTION �napectlon ey ��'�P ��+^ — <br /> � 9-8 <br /> � <br /> Date Inspected 3"��s� <br /> I <br /> SEE SKETCH ATTACHED <br /> ` INSPECTION �.`' 2 9 5 3 � <br /> I <br />