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Ii�f. � �. . . . -tqcl�rtil'�3?��� 1 ...4'r'�S:,ara�-:^ i:..t; � �i — �.r .c��.:r—�?,�pk�.�:�A`Ll4�Ef.i�.7;-:[�t-rr:T—.'.r---�--•"c,:'--.� <br /> I <br /> '= CHART NO. � <br /> I '� <br /> � <br /> � , <br /> ; �: <br /> _� <br /> I � �� <br /> � .,_ j 4, � o G � � �� � � ,_, T� p��r���r 3-�F I <br /> �: <br /> I _ - :; " - �; `' ``. - : I <br /> ,: � <br /> ! 'Sewer Appli�ation� a�.c� ; � _r��it:' <br /> � �_ � , � <br /> r• r_: •� � ;rr� o. �xo . �, io _y+ :� C� <br /> n: _ ��_> > > n o-� : o r- o � r_-� �� �� .: <br /> � � lii .J ic O C� � .' l7 ly �' r <br /> `d' .J u, i:. ... u] 2 r ae o :_ :s 3 c :��� .; , � <br /> ? 9 3 S fi DATE 8/20/43 � � � <br /> — � <br /> Service Address 5531 ParkvleW Ln Utility Account No. I <br /> BillingAddress ���1� ���-�ad }L r!�00 ` 1 <br /> Rf <br /> � Cft , State, Zi $ellevue WA 98007 70.00 I <br /> I y P Permit Fee $ <br /> � Owner _ Colony Czaft Connection Charge I <br /> Connection by _�` /� Trunk $ ' j <br /> Address Lateral $ <br /> Total Connection Charge $ -� � <br /> ; ' Phone Utility Development Fee I <br /> � Legal Description: Water g 2z4.00 I <br /> I Lot 57 Sewer $ <br /> � Block Total Development Fee a ZZ4.00 <br /> Plat vanabrool� nSv 2 <br /> Un latted Descrf tion: �Iv ��� <br /> P P Sewer Bond District __ i <br /> _ Abutting Lot Line � <br /> I <br /> � <br /> N, S, E,W ft. <br /> i Type of Permit New connection Approved By <br /> iRemarks Issued By 8b � <br /> � <br /> i Customer Signatur � �, '� =_ <br /> � <br /> IMPORTANT! ! <br /> i <br /> CALL 1-800-424-5555 48-HOURS ! <br /> � PRIOR TO DIGGfNG <br /> � CALL 259-8810 FOR INSPECTION Inspection ey ����'/y��''� � <br /> Date Inspected 9'L""`�3 <br /> = _ I <br /> i I <br /> SEE SKETCii ATTACHED I <br /> � INSPECTION : ��3� 5 � <br /> I <br /> — -- -- � <br /> - —- _ - -- - _ — <br />