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�.". 'n--'�-l.�-w--rta�rt.�-.-�;.__�..,�n�__Pi��- ��--c- _ <br /> , :�_.`--rp s��-�_-_ <br /> � . . . . . '_i"�7F��r'- b:--•a-�_-�:.,�}�._�'.�.,'.?'"'.-� <br /> CHART NO. <br /> ' TO POSTING 1 " $��'� �I <br /> �. � �Y � 4 . � ... _S I <br /> � _ I <br /> Sewer Application and Permit�, ,_, , ; ,� ; <br /> _ _ � , ; � <br /> � � � � �r� � �� �- =; _ ., � i;, <br /> .. 7 ._ .: DATE a-zs-94 <br /> I I <br /> Service Address 1117 ABCD Ttereve Dr ; <br /> Utility Account No. � <br /> BillingAddress PO Box 321G i <br /> , Ciry,State,Zip F.vorett WA 9R203 I <br /> — PermitFee g 70.00 � <br /> � Owner Rnger Olin � <br /> Connection Charge � <br /> Connection by __ � <br /> Trunk $ I <br /> i Address <br /> , Lateral $ j <br /> � Total Connection pharge $ -�- � <br /> Phone <br /> Utility Development Fee � ' <br /> Legal Description: �a+ ; <br /> Water g 459.8� <br /> Lot Lot 11 ; <br /> — Sewer W $ 1212,�p <br /> BIoCk 4 of Beverly pills Div 1 <br /> Total Development Fee $ 1672.GO ! <br /> Plat <br /> Unplatted Descriptfon: <br /> Sewer Bond District <br /> Abutting Lot Line <br /> N�S, E, W ft <br /> Type of Permit �eW connection <br /> Approved By <br /> Remarks 4-Plex � <br /> _ Issued By N�� <br /> Customer S(gnature ' <br /> IMPORTANTI <br /> CALL 1-800-424-5555 48-HOURS <br /> PRIOR TO DIGGING � <br /> CALL 259-8810 FOR INSPECTION G / � <br /> Inspection By <br /> Date Inspected ���f'� <br /> SEE SKETCH ATTAGHED <br /> INSPECTION ?t��` �� <br />