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e.r."'�"R•`"=.. . �^.rtf�;s. ', _ 't�T,�•:..T;.�d•►.t+'5•�--�����:'i�`.��-n�".ti'�'-,�'`��`-�'8ti.�+�.?!R7'i'''�.�._"'pi <br /> � �. I <br /> , CHART NO. ._ <br /> �� POSTING MAY 619 <br /> � <br /> :� <br /> R�� r:, �? �� Y = . , �_� y� �, o 0 <br /> rr_� �' r"- ' . _ C� t? �� <br /> � b1 <br /> I l O .i i:�. : � G �t � . <br /> - .r� , � . M C(.J� . . , <br /> ' .� a� .� <br /> � F � <br /> Sewer Applicatior� and� �er�it t,.� e ,yJ . <br /> � t l� �' � �4 � � U '1 �1 W t.� �l <br /> r I 'J ;_� :. ' 1 '� `. � � f.:. ; - ..1 :' W <br /> O J _ W �:_ �lr� J ._I i_ _ i.i _ <br /> �� _.. u. LL L ... C . i:J o. � _ . . _. � <br /> 2 n 6 7 5 DATE `�-to-9a ii <br /> , <br /> Service Address 1607 F.dger.,00r Lnne Utiliry Account No. — II <br /> I <br /> Billing Address 21117 59th Ave NE <br /> City, State, Zip �clinstot� Wn 48223 Permit Fee $ �o•�� <br /> Owner Roliin Carlaon Connection Ch2rge <br /> Connectionby DeNnris Conseruccion Trunk $ — <br /> Address 17401 NE 195ch Lateral $ <br /> t��oodinville WA 98072 Total Connection Charge $ '0- <br /> Phone 683-8761 Utility Development Fee I <br /> Legal Description: Water $ ::�4.00 I <br /> Lot 41 of Edgemoor Y.ei�hts SeWef $ ~ <br /> Block Total uevelopment Fee $ 224.00 <br /> Plat <br /> Unplatted Description: Sewer Bond District uLin <br /> Abutting Lot Line <br /> N, S, E,W n I <br /> Type oi Permit new connection Approved By <br /> Remarks Issued By �� <br /> Customer Signature <br /> IMPORTANTI � <br /> A ' �� � � �o � � v`� o�KJ� <br /> CALL 1-500-424-5555 48-HOURS IN� ��� � <br /> PRIOR TO DIGGING �v�� ZO f� <br /> CALL 259-8810 FOR INSPECTlON Inspection By <br /> Date Inspected <br /> p <br /> SEE SKETCH ATTACHED <br /> INSPECTION '. � ' � � � <br />