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• • , • � •O �e :1 '��yr��—li�. •� . K 'S�rL.�Y <br /> py�y:_.1w�- :y�.�. � .'.� t: ' . . . <br /> ,� .�. . �. ,� e <br /> . •`.` ., . <br /> CHART NO. <br /> TO "3�TING i -s �� <br /> Sewer Application and Permit <br /> ' �.'. z 9 4 i � DATE 10-20-93 <br /> �e�yTpgqddresg 2401 Paclfic Ave <br /> Utility Aocount No. — <br /> BBlirg Addresa <br /> �����'�P Permit Fee $ 10.00 <br /> pw�r Eagle dardvar� <br /> Conneccion Charpe <br /> Connectipn p�r Si�rza Construction TNnk f <br /> Address 16716 trE 79th <br /> Lateral f <br /> �dmond WA 98052 <br /> Total Connection Charge Z <br /> P� 885-3797 <br /> UHliry Development Fee <br /> Lpel Descrtptron: <br /> Water t <br /> Lot � <br /> Sewer s <br /> 81odc <br /> Total DevebpmeM Fee s <br /> Plat <br /> ����0�' Sewer Bond District <br /> Abuttirp Lot Llne <br /> N,S, E,W n <br /> Typs of PermR Cap off <br /> Approved By <br /> Remarks Issued By � <br /> Customer Sipnature <br /> IMPORTANTI <br /> CALL 1-800-4245555 46-HOURS /✓a �'" s/° e�r' ; <br /> PRIOR TO DIGGING � �/�,/�s i <br /> CALL 25�8810 FOR INSPECTION Inspectbn ey � <br /> i <br /> Date inspected <br /> SEE SKETCH ATTACHED ' <br /> INSPECTION . _ 2 9,� ] � i <br /> i <br />