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, � <br /> � � CHART N0. <br /> ; <br /> � i <br /> � ; . � <br /> ,:; � h3 � n Y3 <br /> � � � TO POSTING � -L�-�- � <br /> c� F, �a u � I <br /> ,�-v�i ^' �Q; Li "` '-�,. I <br /> Sewer Applicationr c� ,, rinit <br /> � � � � � <br /> '" 297 G 1 DA� s-ze-9a <br /> , _ <br /> ServlCe AGdreas 1�5 H Caeino Rd Bldg e Utillty Accourit No. <br /> BIIIIrpAddroea �59 Huckl�ehoot Circle <br /> City, Stete,Zip � Conner WA 98257 permit Fee S 70.00 _ <br /> ��� _ Rw Percnare Connectlon Charge <br /> Connection by . Trunk i <br /> Addrees — Letorel 1 <br /> _ _ __ Totel Connectbn Cherpe s eae bldg A <br /> Phone _ Utllity Development Fee <br /> Lepal Dte�,apt!�n: Water S <br /> Lot Sewer S <br /> BbCk Total DevebpmBM Fee f nee bldq A <br /> Plat _ <br /> Unpletted Descrlptbn: ._ Sewer Bond DleMct <br /> Abuttinp Lot Line <br /> N, S,E,W h. I <br /> Type uf Permit naw cem�rction Approved By <br /> Remerks Isaued By � <br /> I <br /> i <br /> Cuatomer Signeture i <br /> IMPOR7ANT! � <br /> � <br /> CALL 1-600-424-5555 48-HOURS i <br /> PRtOR TO DIGGIN(i <br /> Inepectlon B �/ �I <br /> CALL Z6o-l910 FOR INSPECTION �i <br /> Date Inspected i <br /> SEE SKETCH ATTACMED _ 2 4 7 61 <br /> INSPECTION � <br /> I <br />