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ww+�.r•k`"",k,�*a�+�t . <br /> �1.�"t'-'�Tr�€�'�f��•`� � . .. . . �-..�»t�`P;XR.�p�i�7T�,.Pi-*u+1..t1*�� <br /> CHART NO. <br /> -�' ?��T�NG i(�-3G-Ab <br /> :"- O :� n �_ _� -. r� ::� � . <br /> K 1 . <br /> � li 1 (i 1 .� �� `� Q� <br /> f,1 r � /. '� t•' . <br /> Sewer Application and:P�rmit := i z __ � � _ <br /> ,_ _ � ,_ <br /> �' .�. � �_ �_I .�:. �.. � r �ic � . l. <br /> 2 �7 �7 �- � � � � t� - <br /> DATE 6-?7-94 <br /> Service Address 113 E *tcGill Ave Utiliry Accourn No. <br /> Billing Address <br /> Ci , State,Zi }veretC WA 982UII <br /> �Y P Permit Fee $ 70.UO <br /> O�Nner Dr�vid huchinr,ki Connection Charge <br /> Connection by �'''"Or Trunk $ <br /> Address Lateral $ <br /> Total Connection Charge $ -�' <br /> Phone Utility Development Fee <br /> Legal Description: Water $ <br /> Lot 6 <br /> Sewer $ <br /> Block s Total Development Fee $ -n- <br /> Plat lneercity <br /> Unplatted Descriptfon: Sewer Bond District <br /> Abutting Lot Line <br /> N� S, E�W ft. <br /> Type of Permit new ccnttection Approved By <br /> Remarks houea recently demoliched Is5ued By '�x <br /> Customer Signature <br /> IMPORTANT! <br /> �frxr, t �i•� � y � C.rwe� <br /> ( <br /> CALL 1-800-424-5555 48-HOURS 1 � <br /> PRIOR TO DIGGING �� v l�s�'��l % � �''��� ��t <br /> CALL 259-8810 FOR INSPECTION Inspection ey <br /> Date Inspected <br /> S�E SKETCH ATTACHED <br /> INSPECTION � �! ! I <br />