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��Liw� i' �.:.�p-- ..-.r � -. .. . ��i'£ F���y -.� - <br />' . . . .. i L'vryr i.. �„ . � <br />I � <br />I� / � <br />� S <br />i r � ��sS��va <br />� r,`-, �io� �.io * c�7 <br />i t O-a t'J (�l e,�' e� ;(� <br />' E <br />; Sew�r Application �ar�d Per.rni�; �� �. � <br />� s; � `� _ `' :�� <br />I . 2'% ^� 5 DATE � oct. 20. 1992 <br />CHART NO. -- <br />�,;TO PO�;ING���-`�_'`'3 <br />L 4 <br />`' � <br />_, <br />__ <br />ServiceAddress �Z00 Lowur RidRo Rd U�iliryAccauniNo. <br />Billing Address p0 Rox 2208 <br />City, State, Zip Lynnvcod UA 98U36 pyrmit Fee $ 70.00 <br />Owner Union Bny Conscruccion Conneclion Charge <br />Connection by a'^eL Trunk $ <br />Address Lateral S <br />Total Connection Charge $ — � <br />Phone �oi-nru _ <br />Legal Description: <br />Lot Z of Short Plnt 27-91 <br />Block <br />Plat <br />Unpiatled Descriptlon: <br />Typc� ol Permit Nev Connection <br />Remarks <br />IMPORTANTI <br />Ulility Development Fee <br />water <br />Sewer <br />Tota� Development Fee <br />$ 13�.50 <br />S J44.00 <br />$ 474.50 <br />Sewer Bond District I (recired) <br />Abutting Lot Line <br />N, S, E, W _ <br />Approved 8y _ <br />Issued By m� <br />CustamerSlgnature ��� " �_'>%"��� <br />CALL 1-800-424-5555 48-HOURS <br />PRIOR TO DIGGING <br />CALL 259-8810 FOR INSPECTION inspection By �-� <br />---- - - Datelnspected ��`J3 <br />SEE SKETCH ATTACHED <br />INSPECTION . � � � a <br />n. <br />