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J <br /> ��� <br /> DXIx . <br /> �yy _ _ — _ - -- <br /> y�� ' _ - - , <br /> r ' <br /> ��o �� CHART N0. <br /> y� i <br /> ��� ��, . TO POSTING -�5�- �'. <br /> o� <br /> p:°g �i � � <br /> �H� ' ' � �� � i <br /> H <br /> �pp�M �I Sewer Application and Permit - j <br /> O�tA __ - - . . �r�. . <br /> � � ' <br /> �y I ? �0 0 i' DATE lz/so/92 <br /> 2019 Helvin Ave Utility Account No. I <br /> Service Address — <br /> BillingAddress alll 31et Ava NE <br /> � 15ary�ville WA 9817+1 _ PermitFee $ 70.00 ' <br /> I Ciry State,Zip <br /> �I Owner �ili '� �ATO1�n ConnectionCharge <br /> $ 270.00 <br /> Connedion by _ Trunk <br /> �' $ ian n0 <br /> � Address — Lateral � <br /> i — 720.00 <br /> Total Connection Charge $ <br /> " ! Phone _ _ Utility Development Fee <br /> Water $ 179.00 <br /> ��� I Legal Description: 471.00 ' <br /> �, Sewer $ I <br /> '�1 Lot 17 6 18 <br /> I 8 Total Developmenl Fee $ 650.00 , <br /> ��' Block � <br /> '�' Plat Pinehure[ <br /> ' Sewer Bond District TT <br /> � Unplatted Description: <br /> � <br /> '-' II Aburiing Lot Line <br /> N,S, E,W n. <br /> fI Type ol Permit 1'ew cunnec[ion Approved By <br /> � Issued By -GB � <br /> ,�' I Remarks �� <br /> � <br /> Custamer Signature i�_ , , � <br /> '� I IMPORTIlNTI �� <br /> ��� <br /> � � <br /> I CALL 1-B00-424-5555 48-HOURS `-�'� <br /> PRIOR TO DIGGING <br /> Inspection By ��c I �""`"'� <br /> CAl.L 253-8810 FOR INSPECTION ected � ' ��' �� 3 <br /> � Date Insp <br /> r � - ' <br /> � .i , <br /> ' SEE SKETCH ATTACHED 2� i � �� <br /> INSPECTION <br />