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fy^'-.tn-p�.-(y�SS�Si�.�R� ^�" ' -`..�' � i�Y'f�q�f: �i -}f�,tii; ' '�r.i�._-��L. ..M1:,�'..�;1,-,;�., . , .--;-r,r};.n-s-x.rz'+�s-r+---:�_,.:,--^�---_��.._..,•�. <br /> x '� CHART NO. 'i <br /> I � <br /> ��. � <br /> � f�r - <br /> - - i <br /> : t� �_: I <br /> � � � r� PosriNc�-u__�r_ , <br /> � <br /> Sewer Ap�licati�n ��nd Perrnit i <br /> �� �,, � _ � <br /> �� r. � <br /> ?. �7 5? DATIE :- _ 5-•�?-94 _ I <br /> I <br /> Service Address 2017 Lake Heighta ur Utility Account No. j <br /> Billing,4ddress 3322 Broadway � <br /> City, State, Zip Everuct t:A 98201 permit Fee $ _�0.00 _ � <br /> Owner �ath3ny of th� Ma Connection Charge <br /> Connection by Trunk $ <br /> IAddre�s Lateral $ I <br /> � <br /> Total Connection Charge $ � <br /> Phone Utility Development Fee <br /> � Legal Descripfion: Water $ –�' <br /> Lot _ Sewer $ 471.00 <br /> I <br /> � Bleck Total Development Fee $ 471.00 i <br /> Plat <br /> � <br /> Unplatted Description: — Sewer Bond District � <br /> Abutting Lot Line <br /> N, S, E, W n• � <br /> i <br /> Type:of Permit new connection qpproved By <br /> Remarks _ Issued By ��i � <br /> I _ Customer Signature � <br /> � <br /> I <br /> IMPORTANT! � <br /> I <br /> CALL 1-800-424-5555 48-HOUR� j <br /> PRIOR TO DIGG[NG �//�' <� I� <br /> � �, <br /> CALL 259-8810 FOR INSPEI'.:TII)i�Q �nspection e� --� <br /> Date Inspected u � '� -. 'I <br /> � <br /> SEE SKETCH ATTACHED ', <br /> INSPECTION � ��r 7�� <br />