Laserfiche WebLink
CHART NO. - <br />TO POSTING (' � <br />, f <br />���e� � � � D � t�� �-1 G O [.i fi, <br />9' I.^I . ! <br />7 • <br />'- (` p p.r GJ C: O G U-� <br />p-. O: .�-+ " C' I t� C� Ll C� <br />�.l .. .. ri. d� e: 'v� <br />f N r. <br />Sewer A,�plicatior� and�,��rmit L�=1� �' <br />* "r.�c�-r.r�c��� �,.-�a�.r w <br />ra o ra m�� n.n �, .v.�, ��y �,I _,.� s <br />• /� G J� .`[? iil Li � lL.�lll rl f� <br />: ?�1581 DATE 1/�/�4 <br />6018 Aocrell Rd <br />Service Address <br />Billing Address <br />310G 79th Ave Ni <br />City, State, Zip �prett t�lA 98205 <br />Owner Aldervood Custom Iiowes <br />C�nnection by �� �`�� <br />Address <br />Phone <br />Legal Description: <br />Lot <br />Block <br />Plat <br />Unplatted Description: <br />Type of P..miit New connection <br />Remarks <br />IMPOFtTANT! <br />� CALL 1-800-424-5555 48-HOURS <br />PRIOR TO DIGGING <br />CP.l.: 259-8810 FOR INSPECTION <br />i <br />SEE SKE'iCH AT�ACHED <br />Utility Account No. <br />Permit Fee $ _ <br />Connection Charge <br />T!unk $ <br />Lateral $ <br />-0- <br />Total Connection Charge $ <br />Utility Development Fee <br />70.00 <br />_p_ <br />Water $ 179.00 <br />Sewer $ 471.00 <br />Total Development Fee $ <br />650.00 <br />Sewer Bond DistricF <br />Abutting Lot Line <br />N, S, E, W — <br />Approved By _ <br />Issued By <br />Customer Signature <br />gb <br />ft. <br />. � <br />Inspection 9y ---1� ��` �P �'P"'� - <br />ii-�y y <br />Date Inspected � -- �-- - <br />� �. - C� j '� I <br />INSPECTION •• � � $ I <br />