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��- _.. <br />( <br />I <br />,� <br />�� POSTING �� <br />Sew�ai� Application <br />2.�!>-,., <br />DATE <br />,� ,�. ,... - >.,��r�'-,�Rs�-r��..:,-�-T <br />CHART NO. � <br />� , �� <br />` <br />_ �_ <br />�. <br />-;,� <br />.�. <br />and Permi#� ; � <br />, � .� <br />_ _ _ �:� -1 _: <br />, �, <br />; __, - <br />tii23/�s <br />Service Address _ 5218 S 4ch Ave _ <br />Billing Address — II216 Aenning Dr <br />City, State, Zip — Saanwood WA 9E292 <br />Owner �ohn Weat <br />Connection by _ <br />Address <br />Phone <br />Legal Description: <br />Lot <br />Block <br />Plat <br />Unplatted Description: <br />Type of Permit <br />Remarks _ <br />5 5?P. 45-69 <br />riew connection <br />IMPORTANT! <br />CALL 1-B00-424-5555 48-HOURS <br />PRIOR TO DIGGING <br />CALL 259-8810 FOR INSPECTION <br />SEE SKETCH /�7TACHED <br />Utility Account No. <br />Permit Fee $ <br />Connection Charge <br />Trunk $ <br />Lateral $ <br />Total Connection Charge $ <br />Utiiity Development Fee <br />Water $ <br />Sewer $ <br />Totai Development Fee $ <br />Sewer Bond District <br />Abutting Lot Line <br />N, S, E, W _ <br />Approved By _ <br />Issued Dy <br />Customer Signature <br />70.00 <br />2ti1.00 <br />6ll8.00 <br />949.Q0 <br />ft. <br />Inspection By �-�"'"�//��� i <br />� � Date Inspected r '�� - 5 � �I <br />i <br />� <br />i <br />INSPECTION � '� J 3 :� I <br />