Laserfiche WebLink
,,'P .;�,_,>.T"v..r�-t-.. . �� �. • .,� --i r-rr,, --�r.--- <br />� M�rr';'4� '�"�... , ac.y'�+. e .�o,.. <br />1.. <br />Se�nrer Applicatio <br />.:. 29672 <br />Service Address <br />' Billing Address <br />City, State, Zip . <br />Owner <br />Connection by _ <br />Address — <br />r <br />C: <br />=C <br />c: <br />' = � =� <br />r - <br />t' <br />.. <br />n and�_�ermit <br />� � L1 4! <br />' �:� I� T' <br />ri _.� 'J � f�) <br />DATE �-8-9� <br />7417 Lovar Ridge Rd <br />Mike Ward <br />Watkins EnterpriAes <br />PO Ror 8238 <br />Kirklund Wp 93034 <br />Phone 514-0544 <br />Legal De��ription: <br />Lot <br />Block <br />Plat <br />Unplatted Description: <br />Type of Permit Sewer Alteration <br />Remarks �/�'�u' e>ar.�c �„e, w <br />�v� <br />IMPORTANT! <br />CALL 1-800-424-5555 48-HOURS <br />PRIOR TO DIGGING <br />CALL 259-8810 FOR INSPECTION <br />Utiliry Account No. <br />. n:��Ti ��. <br />CHART NO. <br />TO �OSTING�_(.�� <br />PermitFee $ 30.00 <br />Connectlon Charge <br />x <br />Trunk $ <br />Lateral $ <br />Total Connection Charge $ <br />Utility Development Fee <br />4Vater $ <br />Sewer $ <br />Total Development Fee $ <br />Sewer Bond District _ <br />Abutting Lot Line <br />N, S, E, W <br />Approved By <br />Issued By rit! <br />Customer Signature — <br />Inspection By "���� <br />Date Inspected � •/0-9 <br />SEE SKETCIi ATT/�CHED <br />INSPECTION <br />ft. <br />,'�� ?_g�72 ! <br />� <br />_-_— __—_ � <br />