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.. �Yf ie�.�y�:., .n.;...y.. �.w.. ... •.a-. y�. wy��.v�s,.,k d41,:y�y'Ty,{,wp .i.n....a. k ..v ..a an•r+... , n .. ,,..i�r�r�vC � . <br /> �'{^�":•"�PrC'+Inry�'i I.,�,R,r.. � C .. <br /> ' CHART N0. <br /> �., <br /> � <br /> ` TO POSTING_s-�-s ; <br /> 4 <br /> .[�y L' � � � � � O c, � � � <br /> 1fJ � rJ'� O , O O yl 00� L� <br /> O `l� 0� ?. .-� -a C�3 .'] GI C- tr . <br /> L^I �W �R �A .w r> � M � d r <br /> Sewer Application an��! Per� � � ' [� � :,_ <br /> � � �� <br /> y? f7 4^J 2 f^J r'�i �1 Q lV J W e�-� LJ <br /> `l � � w W � � r � �e � R 3h2 . <br /> 1•� � ul � :E w4`. 0 ... 3 r :1J1 ti !_� <br /> . �: �9� ?3 DATE c 3/24/93 <br /> Sei��ice Address 5610 Parkvisv La Utility Account No. <br /> Billing Adclress 1�410 Bel-Rad Rd 0200 <br /> Cky, State,Zip B�llawa WA 98007 Permit Fee $ 70.00 <br /> Owner �ul�g-(�te Connection Charge <br /> Connection by �� Trunk $ ` _ <br /> ,-- <br /> Address Lateral S <br /> Total Connection Charqe S <br /> Phone Utility Development Fee <br /> Leyal pescriptbn: Water a 179.00 <br /> �� 12 sewer a <br /> g� Total Development Fee E 179.00 <br /> p�gl HanaDroot Div II <br /> Unplatted Descripdon: Sewer Band DisMct �'� <br /> Abutting Lot L(ne <br /> N, S, E,W � <br /> Type of Permit New connaction Approved By <br /> GB <br /> Remarks issued By <br /> Customer Signature '"-� '`—� - . <br /> i : .. <br /> IMPORTANTI <br /> CALL 1-800-424-5555 48-HOURS <br /> PRIOR TO DIGGING <br /> Inspection By �'�S`/""' " <br /> CALL 259-8810 FOR INSPECTION � �y.,s.� <br /> __ i , Date Inspected <br /> :. <br /> SEE SKETCH ATTACHED , � 2 9 � L � <br /> INSPECTION •- <br />