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; • - CHART N0. — <br /> � i <br /> - �� <br /> il _ i� <br /> II� '`�. _, c� t i �= 'r-; '- - �� '- I <br /> I n� •- ... _ L_i L�i :� p� �.-� � <br /> �, . . �. ,� « .� O Vl I <br /> ' _' . ,. � .N �w h�"� Yi I <br /> 4 I <br /> I Sewer Appiication �nd P�rmi;f;� � Y � � � � � <br /> � <br /> ., ._ �, �� « � �..� t �, � �. .. � <br /> I - � ' �� G m � ai:r r� � � r� . :..i <br /> � . � C _�I J J ,J ,J . � <br /> - ' yL :. :: C � S . I_i <br /> � 2 3$ 9 5 DATE �-e-9: =� -- i <br /> i <br /> Service Address 3041 ABC Kron�r Ave. Utility Account No. I <br /> i <br /> � BillingAddress 505 ?44eh St St1 I <br /> � <br /> City, State,Zip Aothell tJA 98021 Permit Fee $ "-- <br /> � <br /> i <br /> Owner pzt a Pcarl Nxrdone Connection Charge i <br /> Connection by Trunk � I <br /> I <br /> I Address Lateral $ � <br /> I <br /> Totai Connection Charge $ -�-�- � <br /> Phone 776-6200 Utility Devetopment Fee I <br /> Legal Description: Water $ 84. 15 <br /> I Lot Sewer $ 221.85 "-. <br /> i <br /> ' Block Total Development Fee $ 306.00 ! <br /> i <br /> � Plat � <br /> i <br /> I Unplatted Description: Sewer Bond District <br /> IAburiing Lot Line <br /> � N, S, E, W ft. <br /> I <br /> ! Type of Permit Approved By <br /> Remarks _ Issued By �� � i <br /> %� � � <br /> � Customer Signature �%�' ' `�'' c _ <br /> � ' � � <br /> i IMPORTANT! <br /> i <br /> I CALL 1-800-424-5555 48-HOURS <br /> � PRIOR TO DlGGING � <br /> I ��v� <br /> � CALL 259-8810 FOR INSPECTION Inspection B � <br /> j . . _ _ Date Inspected 3-Z Z -5 3 i <br /> I <br /> SEE SKETCH ATTACHED <br /> INSPECTION � � � g � � <br />