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PS <br />3 iµ.t4 <br />�;'t ` <br />ti <br />L� <br />f'i <br />v'i <br />8 <br />� p p o �j <br />�:E S r1 � tf� O O� Gl � <br />�_ . . <br />o � ����,� a�(} ;��,,� <br />O. . �A .O i9 C.1 . Ni <br />rR M. M ✓�` <br />.y + M M. Cn <br />• � <br />Sewer Applicati@n�and e(�m.��., <br />� � ���;� ` <br />�� -�;o:�o ..�� <br />� ac��r�cnoro�'�"QN�y <br />o �diZ�w-zvc3Q ��i:.r[-i <br />`�-, � 8 9 3 9 DATE �*At�r is , 1992 <br />Service Address 1411 !ladrons Ave <br />Billing Address 8001 - 22nG A�a NN <br />City, S�p(e, Zip Seattla. WA 98117 <br />Owner paul LaViane <br />Connection by o.mar M ��u �.. �� l <br />Address _ — - <br />^._^R Phone 762-6243 <br />Legal Descripti�: <br />Lot • <br />Blxk <br />Plat ' <br />Unplatted Description: <br />Type of Permit NEti CONNECTION <br />Remarks <br />IMPORTANT! <br />CALL 1-800-424-5!i55 4ti-HOURS <br />PRIOR TO mIGGIN� <br />CALL 259-8810 FOR INSPECTION <br />✓_��� � ��� 7 _ �" y j <br />SEE SKETCH A7TACHED <br />Utiliry Account No. <br />CHART N0. <br />TO POSTING R Z <br />Permit Fee $ 70.00 <br />Connection Charge <br />Trunk <br />Lateral <br />Total Connection Charge <br />Utility Development Fee <br />Water <br />Sewer <br />Total Development Fee <br />$ <br />$ <br />$ <br />$ <br />$ <br />$ <br />a�o.00 <br />450.00 <br />�20.00 <br />� <br />224,00 <br />589.00 <br />913.00 <br />Sewer Bond Dfstrict aotao I2 _ <br />Abutting Lot Line <br />N, S, E, W _ <br />Approved By _ <br />Issued By ` J ��11 <br />- / ,,..� . <br />CustomerSignature �L`�-e �/�'U�`�=�,-�.-< <br />Inspection By _ <br />Date Inspected <br />INSPECTION <br />V4bl//Lc.p� <br />/.� .2 �/- S'z <br />�� z�sss <br />ft. <br />