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- .: . <br /> - - --r--,- r- _. � �. ,,.., . . . <br /> i_... , -, -; _ _ _ . � . : ',r: ,�.. , <br /> CHART NO. ---- <br /> /I� <br /> �''� E�' ;, ; , : TO POSiING_�o-, _ <br /> . - �---°.� <br /> � �- - - <br /> ,, . <br /> ��'; Sewer Application ac�d�Permit �� � , � <br /> � = < r- - <br /> �, . ��0 .Q DATE 1/29/93. ._ �.._ . _ . ._ . . <br /> �� 4017 Kromur Ave Utilit Account Na. <br /> Service Address Y , <br /> ' 3240 Eaetlako Ava E 8200 , <br /> ' Billing Address <br /> ' Seuttle FA 9P102 PermilFee $ 7�.00 <br /> ', City,State,2ip <br /> Owner uali66ti oes in Connection Charge <br /> �. Cnnnection by �»���•• C,�.,.:. 7runk $ <br /> Address Lateral $ <br /> 0.00 <br /> Total Connection Charge $ <br /> �� Phone Utiliry Developmem Fee <br /> � Legal Description: y,�a�o� g 179.00 <br /> Lot � Sewer $ 471 Ofl <br /> � 81ock Tolal Development Pee $ Rcn nn _ <br /> P�y� S1lvarhevk <br /> � Unplatted Description: — Sewer Bond District <br /> Abutting Lot Line <br /> N,S.E,W — n. <br /> xev connection A roved B <br /> Type of Permil ?P Y r.e <br /> Remarks Issued By — <br /> � Customer Signature <br /> IMPORTANT! <br /> CALL 1-800-424-5555 48•HOURS <br /> PRIOR TO DIGGING /� <br /> Inspeqion By "y'6"�•"^ <br /> CALL 259•8810 FOR INSPECTION <br /> �atelnspected r'�'�' <br /> SEE SKETCH A7TACHED �� �. � <br /> WSFECTION � <br />