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' _ . `4,_' . ,. . . .. . � � � ' . . <br /> CHART NO. <br /> m �nstiN��� <br /> � �� - <br /> b� � . � <br /> � �� Sewer Application and Permit ; w � � �; ;. <br /> �� . . . . ._ "_ _ ,_i � � � ... �. <br /> � �'� 2 ° :'. (� ? DATE e/4/<,�� _ .. ,_. <br /> x <br /> 2y32 Oakes <br /> O iC-�+ d�y Service Address Utility Account No. <br /> r�i t�O 151ti 2nd Ave <br /> M� � Billing Address <br /> „��,� �~-7� City, State,Zip Seattle HA 9ft101 10.00 <br /> Permit Fee $ <br /> g� y <br /> � Owner Cencruc� Finencial Svcs Connectien Charge <br /> H <br /> ���A <br /> � Cannedion by Trunk $ <br /> '�� Address Lateral $ <br /> Total Connection Charge $ <br /> Phone Utility Development Fee <br /> Legal Description: Water $ <br /> � C' Lot Sewer $ <br /> i <br /> Block Total Deveiopment Fee $ <br /> + Plat <br /> I � <br /> � Unplatted Description: Sewer Bond District <br /> � � _ Abutting Lot Line <br /> I "i N,S, E,W n• <br /> Cup-Off <br /> ���,,, Type of Permit Approved By <br /> �� Remarks Issued By , <br /> �' ,� , <br /> Customer Sfgnature -� _ --�— <br /> � IMPORTANTI <br /> CALL 1-600-424-5555 48-HOURS <br /> PRIOR TO DIGGING <br /> ��E� � <br /> Inspection By <br /> CALL 259-8810 FOR INSPECTION -� � , ,f• �j <br /> Date Inspected <br /> �-2�-93 <br /> SEE SKETCH ATTACHED , <br /> INSPECTIOiJ � �' -� �' <br />