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.r=-''��;-�-.�::-,--:..--1�-.--a-....,�,.:r6: :-:�,:K,a-'�_.w. , ::-7... ., <br />� <br />, � {� l 4' l lY � 'P: �� �. <br />f. f't_ 'O� .n� <br />i[: <br />1.'1 :� ✓ <br />Sewer Application ahd P�r�nit ;: <br />�,��,:�: Ue t; - <br />���.`��,�7 -. jr:.�i ��� <br />v .., �. .,. -^ ='s : r . . _ <br />? 91 1 9 DATE� 3-1l3-93 ^ <br />Service Address 7537 �"'nz Ridge Rd Utility Account No. <br />BillingAddress �627 8th Avn NW _ <br />City, State, Zip Senctle HA 98115 permit Fee $ ��•�� <br />Owner Sero�e Conntn�celun ConnectionCharge <br />Connectionby o-+nor �� �Trunk S <br />7 Laterel S <br />Tota� Connection Charga $ <br />N0. <br />ju � i,i(ING�' �9�'— <br />Address <br />Phone 524-69:1 <br />Legal Description: <br />Lo� �P of Bavnrly Acreage Trncto <br />Block <br />i Plat <br />� Unplatted Description: <br />I. 1:ev connec[!on <br />� Type ol Permit <br />Remarks <br />IMPORTANTI <br />CALL 1-800-424•5555 46-HOURS <br />PRIOR TO DIGGING <br />CALL 259•8810 FOR INSPECTION <br />n <br />Utility Development Fee, <br />Wa�er '�`"it'.,� $ 179.b0 - <br />Sewet $ 471.00 � � <br />Total Development Fee $ 650.00 <br />Sewer Bond District <br />Abutting Lot Llne <br />N, S. E, W n. <br />Approved By <br />Issued By rn� <br />Customer Signature Y ��_ ` �� � <br />�^ n ��,.�an �a `� � `iopSC <br />�p . u. <br />,1�� / ��,�ro <br />n� -�� � <br />,.�� � 5i <br />i <br />Insp�'orfBy - — <br />Datelnspected <br />SEE SKETCH ATTACHED <br />INSPFCTION � - � 4 � � �� <br />