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�� , . . <br /> ,.. .,,. <br /> � � CHART N0. <br /> , i. <br /> o TO POSTING �-�s-9 y <br /> � <br /> � <br /> � <br /> g� � g � g s � �� � <br /> rp . . Q y, o � :p,. <br /> G5 1!� O p�. � w• Jj `� c �' � CO �.� <br /> -< �j w�+ N w '� � y�i p •! N A <br /> p]) O <br /> M Ul l� <br /> N � 't 1 Cl� <br /> Sewer Application a�d�errr� _. � �: � � o �� � <br /> � ������o � � g � � ��� <br /> � 9�� G �24/93 ' <br /> , � DATE <br /> 5615 lse Dr SS _ ������p�unt No. <br /> S9Nlc9 Add�95S _. r, •. <br /> 1441U Bel-R�d Rd YZ�� 7p,00 <br /> Biltlng Address ����a WA 98005 permit Fee $ <br /> CftY�Stete.ZiP <br /> Coleny Craft Connection Charge <br /> Owner !��./� Trunk $ . . <br /> Connectfon by � S —�� <br /> L.atetal -�- <br /> Addresa — -� <br /> Total Connectlon Charge $ <br /> Utility Developme�t Fee 179,00 <br /> phone Water $ <br /> Leqal Descriptlon: $ <br /> 39 �WBf 179.00 <br /> �0t Total Developmant Fee a <br /> Bbck <br /> ULID 42 <br /> Plat Sewer Bond Dist�ict <br /> Unpiatted Descriptfon: <br /> Abutting Lot Line — n <br /> N,S,E,W <br /> N�v connaction Approved By gb <br /> Type ot Permit Issued BY <br /> Remarks Customer Signature <br /> IMPORTANTI <br /> � CALL�-800'424"5555 46•HOURS / <br /> • pp10R TO DIGGING �G.bP rl,• •� <br /> Inspection By ,//��y <br /> CALL 259-88�0 FOR INSPECTI�N Dete Inspected �� <br /> � �94ce <br /> SEE SKETCH ATfACHED INSPECTION <br /> . <br /> ------- <br /> --- <br /> - --- <br /> � - -- --- <br />