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"."a"p"'•� , . . 7wr7�w �•w+wtw�� <br /> �� CHART NO. -_ <br /> � `, <br /> ` �( � � � � <br /> I � �- �'. ��" V i,+� r`5 4� i'.5 �{ TO POSTING��.I��.L i <br /> G � r ' �. r' c c� r� �; �;: i <br /> �; : .:: '� a �� 'w- :.< �',) .., ` <br /> r7 �l ` ,n <br /> Sewer Applicati,or�a4nd P�rm�t:_ I <br /> . , <br /> �.. <br /> r- i <br /> �- ':k u � L i ic u 1+ ,v ,_• �t'•` �•.� <br /> 297 ' � DATE 6-19-94 � <br /> � <br /> Service Address ��23 E CASINO RD Utllfty Account No. — � <br /> BIII(ng Addresa 21511 oST1i AVf, sF. I <br /> Clty, Stete, Zip BOTfIELt. WA 98021 Permd Fee $ �G.00 I <br /> OWnBr WITNF.RS COASTRUC7ION COnnectlon Chafge <br /> Connectlon by Trunk a <br /> Address Lateral S <br /> Total Connection Charpe a '�- I <br /> Phone Utlliry Development Fee <br /> LepalDescriptlon: Water S 179.00 I <br /> �p} 2 OF S1i0RT PLAi 036-93 Sewer a 671•��� I <br /> 8� Total Development Fee s 650.q0 _ <br /> Plet <br /> Unpletted Deacription: Sewer Bond Dlstrict I <br /> Abuttinp Lot Line <br /> N, S, E, W h, <br /> Type ol Permit N�+ Coh'NP.CTION Approved By <br /> Remarks Issued By M� <br /> Cuatomer Signature <br /> IMPORTANTI I <br /> � CALL 1-800-424-.r+555 48-HOURS <br /> � PRIOR TO DIGGING <br /> CALL 259-9810 FOR INSPECTION <br /> Inspection B� I <br /> Date Inspected �' I <br /> ISEE SKETCH ATTACHED � <br /> I INSPECTION . 7�] rry. � I <br /> � i <br />