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� � ,-� ^iF� i .il .k'.:'^ ,�14 <br /> — ;1_ .. . . 'G-:— . :tl ,`,15�. "Fv.y�s��y�..,�.•' . r • , <br /> ".�7�'..'. .. . „ ..� _ r•� ���., ' <br /> CH T NO. <br /> . <br /> �-rr <br /> Sewer Application and Permit <br /> ; ;'� 2 � 4 7 2 DATE 1U-20-93 <br /> Service Address z403 Pacif ic Ave Utility Accounl No. <br /> i <br /> Billing Address 10.00 ' <br /> Permit Fee $ <br /> Ciry, State, Zip � <br /> Owner Eagle Hardware Connection Charge � <br /> Connection by <br /> Sierra Conotruction Trunk $ — <br /> Address <br /> 16716 NE 79th Lateral $ <br /> Redmond WA 98052 Total Connection Charge $ — <br /> Phone 88�-3797 Utility Development Fee <br /> Water $ <br /> Legal Description: <br /> Sewer $ <br /> Lot <br /> Total Development Fee $ <br /> Biock <br /> Plat <br /> Unplatted Description: <br /> Sewer Bond District <br /> Abutting Lot Line <br /> n. <br /> N, S, E,W <br /> Ca off Approved By <br /> Type ot Permil p � <br /> Issued By <br /> Remarks <br /> Customer Signature <br /> IMPORTANT! <br /> CALL 1-B00-424-5555 48-HOURS <br /> PRIOR TO DIGGING <br /> Inspection By <br /> CALL 259-8810 FOR INSPECTION Date Inspected , <br /> �� <br /> �i SEE SKETCH ATTACHED .,�0 2 g Q 7 2 <br /> i UTILITY BILLING <br /> I <br />