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. .i. f� A ,!n ._ • �����T{: .• IN:� . '� , n ..�.y �(` . . . . � � <br /> CHART N0. - <br /> _ TO POSTING G -Z_3_� <br /> � -; a; - 1 '-� �'r �T � �i •- <br /> ' c. , ;'� c': i <br /> ". .., _ .. . . , ::. . .- <br /> Sewer Application a�d Perr��, , ;.�; �, �- � <br /> _ ?. `, �� ' � � ;, t_ �� t :, <br /> '; : - :� ,. <br /> �-• - `�: <br /> - � -, " �� z: �. -. � '= s ... �, _, <br /> '.'' Z958� DATE . 41/25/94 � <br /> I 5531 l�c �ve 6H Utility Account No. <br /> Service Address <br /> Billirg Address <br /> 14i10 li�l—A�d Rd 6200 <br /> Cfty, State,Zip <br /> B�ilavw NA 98007 permitFee $ ���� <br /> Owner Culonr Crafc Connection Charge <br /> Connectionby �`��� Trunk a <br /> Address Lateral a <br /> Total Connection Charge $ —a <br /> Phone Utllity Development Fee ' <br /> Lepa�oeso�ipuon: <br /> wecer a zxa.00 <br /> �t 36. gawetook Div 2 Sewer a <br /> 22�.00 <br /> B� Total Development Fee S <br /> Plet ULIp !1 <br /> Unplatted DescripUon. Sewer Bond District <br /> Abuttinp Lot Line <br /> _ N,S.E,M, n. <br /> Type of Permii N� ��ection Approved By <br /> Remarks <br /> Issued By Eb -- <br /> Customer Signature <br /> IMPORTANTI <br /> CALL 1-800-4245555 48-HOl1RS <br /> PRIOR TO DIGGING //',_ <br /> Inspection By `�"" �t'/i��<�" <br /> CALL 259-8810 FOR INSPECTION 3���y' <br /> Date Inspected <br /> SEE SKETCH ATTACHED <br /> INSPECTION <br />