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' , . . , t , . � h . u r :R... . - . . ,s ,. ' <br /> V: <br /> � CHART NO. <br /> I � I <br /> � <br /> � <br /> � o q c� o 0 <br /> � V� u 1 G C :.J <br /> � � �:� � �. TO POSTING � '��-�� <br /> o ,:, ., ,_ ,. `� <br /> Sewer Applicatior� �ia[�,,���ermit <br /> �'+ O tFl G +J� O 3 � la� � <br /> � p O r'J W <br /> G 3t f.�' :t. CU :C U1 � U7 C-� <br /> ' ;° 2 g r,�� DATE 10-1H-93 <br /> Service Address 4935 EVERGREEh WAY Utility Account No. <br /> Billing Address 320 108TH NE d406 <br /> City, State, Zip BELLL•WE WA 98004 Permit Fee $ 10.00 <br /> Owner �tGMAB ConnecNon Charge <br /> Connection by SnL CU[tP Trunk $ <br /> Address -- Lateral $ <br /> Total Connection Charge $ <br /> Phone Utility Development Fee <br /> Legal Description: Water $ <br /> Lot . Sewer $ <br /> Block Total Development Fee $ <br /> Plat <br /> Unplatted Description: Sewer Bond District <br /> Abutting Lot Line <br /> N, S, E,W h• I <br /> Type of Permit CAP OFP Approved By <br /> Remarks Issued By 'tt� <br /> Customer Signature � �'��'-�' � ���� <br /> IMPORTANT! <br /> CALL 1-800-424-5555 48-HOURS <br /> PRIOR TO DIGGING <br /> Inspection By�/�""� <br /> CALL 259-8810 FOR INSPECTION <br /> Date Inspected ��"T <br /> SEE SKETCH ATTACHED �G ?9 4 C�� I <br /> INSPECTION <br /> — — — ---� <br />