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,�.._..-. :-.,��.....�.._,,,;, — <br />. .. �'�-!'l�ir�w'�.r!!�'�i�Y.:4,h'��:iL'1:l.yr-_iL..iP`,:, . <br />I' <br />, <br />_. ` _ <br />� ;; � <br />� �� <br />Sewer Application and I?�mit <br />_ �«L��.. <br />:, , ", - <br />�,_ =':;U <br />2 9 d 91 DATE 10-29-93 <br />Service Address 9406 4T}i AVF. K <br />Billing Address g3p6 FREDERICh PL <br />Clty, Stete, Zip F,DMORDS WA 9A0�0 <br />Owner SANG N F:I:! <br />Connection by <br />Address <br />Phone <br />Legal Description: <br />Lot <br />Block <br />Plat <br />Unplatted Descriptfon: <br />Type o( Permit CAP oPN <br />Remarks <br />IMPORTANT! <br />CALL 1-800-424-5555 48-HOURS <br />PRIOR TO DIGGING <br />CALL 259-8810 FOR INSPECTION <br />Utiliry Account No. <br />Permit Fee $ <br />Connection Charge <br />Trunk <br />CHART NO. <br />To P��T��c_ �-z�-q <br />Lateral <br />Total Connection Charge <br />Utility Development Fee <br />Water <br />Sewer <br />Total Developme�t Fee <br />Sewer Bond District — <br />Abutting Lot Line <br />N, S, E, W <br />Approved By <br />Issued By �� <br />Customer Signature <br />18.00 <br />$ <br />$ <br />$ <br />$ <br />$ <br />$ <br />� ..��// I <br />.: . �/��/� <br />.. .: �r <br />SEE SKETCH ATTACHED <br />INSPECTION . � � � 9 � <br />"u� <br />