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� , . ,..,..,.� <br /> : � <br /> � <br /> t^_^^^�4�'.`:v w:;?. - ;.e,��-•�R-�:'Tj�".;,ey���yt .r-:ea!T ...r, ,.1C:!�Ar.�_s"F.T.c�rc v---.___ _. . . . __ <br /> .: CHART NO. <br /> � . <br /> ��� :i _ <br /> a � � ; - TO POSTING s�u' �" <br /> w <br /> ��� Sewer Application and P�r,�nit <br /> �. = � : <br /> � �Y� � .: <br /> �io ' "' 2 91 3 5 DATE 5'6�y3 — <br /> ��� Service Address 1316 Crand �ve Utiliry Account No. <br /> �A BflNng Address <br /> s y City,State,Zip Everecc NA 98201 Permit Fee $ 30.00 <br /> t� <br /> � �8f Aunne SaverAon COnneCtlon Charge <br /> N <br /> gL0 Connectionby Roco aoocer Trunk S <br /> �o� 3534 Begley Ave 1i <br /> a Address Lateral S <br /> '.� Seatcln WA 98103 TotalConnectionCharge S <br /> Phone 357-9124 Utility Development Fee <br /> Lepal Description: Water E <br /> � C, Lot Sewer S <br /> ' �. Blodc Total Development Fee S <br /> ' Plat <br /> i -- <br /> U�platted Descriptbn: ' Sewer Bond District <br /> j �� Abutting Lot Line . <br /> � <br /> N,g, E,yy ft. <br /> � � Repair <br /> � Type of Pertnit Approved By <br /> �� � Remarks IssuedBy M�, � ,_ <br /> , � Customer Signature ' � `� / �. <br /> �, IMPORTANT! <br /> CALL 1-800-424-5555 48-HOURS <br /> PRIOR TO DIGGING <br /> ' CALL 259-8810 FOR INSPECTION Inspection By �a�<'��np-� <br /> Date Inspected S- 7- s} <br /> � SEE SKETCH ATTACHED <br /> INSPECTION 2 � � '�5 <br />