Laserfiche WebLink
, . �. r.� . _<ti _ «x:!YRq'� , . . . . �i . - � _ . .. . . , <br /> / <br /> .. CHART NO. _ <br /> �, TO PntTl^!G ��-_�_ <br /> Ir �^_a`r�G'�'; 'rti�1 _ ' G' ?, u � <br /> � ��c4M "' _ �F'! <br /> �, . - <br /> n� Y z <br /> I Sewer Applicatior� and LPer-..�i�� �, � <br /> o �� �:y „�a �. � � <br /> I v �5:� i �., �.YY:� E.€ `� ti �i: <br /> �. '� 293�a DATE 9/]0/03 <br /> I5411 l�t Dr W <br /> Service Address Utiliry Account No. <br /> Billing Address 237 Elm St � <br /> Clty,State,Z!p �"'=ecc WA 98203 permit Fee $ 70.00 <br /> Owner S�lect Nom�� Inc ConnectionCharge " <br /> Connection by S C � Trunk S <br /> Address Lalerr,l S <br /> Tmel Connection Charge F '�' <br /> Phone U�ility Deveiopmen�Fee <br /> t 179.00 <br /> Legal Description: Water E_ <br /> Lat Zl Sewer E <br /> Block 7otal Development Fee a 119.00 <br /> Plat n,,..�roet i�+� t <br /> Unpletled Descriplion: Sewer Bond Distnct �ID C 1 <br /> Abutling Lot Llne <br /> I N,S.E,W n. <br /> Type ol Permit rar connectlon Approved By <br /> Remerks _ Issued By Y, • gb <br /> JG:;�'i. ;�:1 ;7 0� ,./i'.:G <br /> CustomerSlgnature!+.T— ��"�' ��� <br /> i IFAPORTANTI <br /> CALL 1-800-424-5555 48•HOURS <br /> PRIOR TO DIGGING /' / <br /> CALL 259-8810 FOfl INSPECTION Inspectlon ey �%��` �/^��� <br /> I Dete Inspacted l�'��'9� <br /> i <br /> SEESKETCH ATTACHED <br /> INSPECTION -' 2�'1 3� <br />