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. .. -.nT' �l{r( . Y.� . . �.I : h ..V . � vl. . f � . . <br />I <br />;: <br />6: <br />� <br />qr. Gi �'rcj �� i=;. �� 45 u'_ �: <br />�O L; h� O. J O I.] :� �J <br />e� y'. u� �y ' <br />�, ... . _. . , _ <br />:.�: r , "` " <br />Sewer Applicati���nd PQ�r�t �, ✓� <br />�.`,�_t.,�, �;.�_ <br />.. �c' W W c�i.i �,�=il- � 9 .� �J <br />'J ' .J I�i �. <br />:'.4 fJ �i L[u N u t 3 c' .� - t��� <br />2 9 5 G 7 DATE 12/29/93 <br />5402 5 2nd Av� <br />$91VIC@ AdCJfBSS <br />Utiliry Account No. <br />Billing Address 5410 S lst Ave <br />City, State, Zip �eract WA 98203 permit Fee $ <br />Owner - Andv zauaich Connectlon Charge <br />Connectlon by <br />Address <br />Phone <br />�epal Description: <br />Lot <br />Blodc <br />Plat <br />Unpletted Description: <br />Typeof Pertnit Nev connection <br />Remarks <br />IMPORTANT! <br />CALL 1-800-424-5555 48-HOURS <br />PRIOR TO DIGGING <br />CALL 259-8810 FOR INSPECTION <br />Trunk <br />Lateral <br />.�:t��)fi�-.�;1 -r <br />GHART NO. - <br />1_ <br />TO POSTING� �-� + <br />Total Connectbn Charge <br />Utility Development Fee <br />Water <br />Sewer <br />Total Development Fee <br />Sewer Bond Dfstrict <br />Abutting Lot Line <br />N, S, E, W _ <br />Approved By _ <br />Issued oy <br />Customer Signature <br />a <br />a <br />S <br />70.00 <br />�,, <br />a LI9.00 <br />$ 471.00 <br />a 650.00 <br />Inspection By �� �� <br />Date Inspected a -��- �y <br />, <br />Rb <br />SEE SKETCH ATTACHED <br />INSPECTION . � n 5 Er � <br />n. <br />