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� yb1 � � <br /> A '�7 x ,-. _ . _ _ .__ __ .. _ . _ __. ._ . ._ _. . . . . . . . _ _ .- --- . . . . .. <br /> 9Hy i <br /> H � a CHART NO. —____ <br /> H H <br /> �C C] <br /> H xl <br /> � H "�;1 I <br /> V1 N <br /> z jj <br /> � � d Tp POS�ING � �/�z '� <br /> � �g i <br /> � y� ; Sewer Application and Permit � <br /> Hy <br /> g� I I <br /> H n � -� � � I <br /> o r w . DATE �-� %-Q1 <br /> �� � <br /> y o y i Service Address "'� � =�'l:ltp r; • Utility Account No. — I <br /> Billing Address ""'� I <br /> City, State,Zip Evcroct WA 98201 P �mitFee $ _ }�'•"'' I <br /> Owner `»tier Clark Connection Charge �, <br /> Connec�ionby ��•�-•B• plur.bi+:r. Trunk $ <br /> Address 3508 Uplmtd ,�v�• Lateral $ <br /> I <br /> Evrtr.C! ?:A ��� �. <br /> — Total Connaction Charge $ <br /> Phone '-��='+ Utility Development Fee <br /> i - — <br /> ��� Legal Description: Water "; `$ ` ` ' � ` ," 1� <br /> � <br /> 1 • Lot — Sewer $ � , <br /> > ll t��: <br /> ^-) Block Total Development Fee ' $' � <br /> Plat <br /> , <br /> I G �Unplatted Description: Sewer Bond District <br /> � -._ � � <br /> � Abu�ting Lot Line <br /> i <br /> N, 3, E,W ft. <br /> I J <br /> t�� i Type af Permit °ePA_� Approved By <br /> �� Femarks 5 �� ':I3 � , �_ I <br /> Issued By ' <br /> �'��, J / <br /> ..�Q � 1 Cusromer Signature � -'f f "' -�•"'��C" � <br /> IMPORTANI'! \ � n�� <br /> � ��o� CALL 1-800-424-5555 48-HOURS ` <br /> � PRIOR TO DIGGING \� <br /> CALL 259-8810 FOR INSPECTION ` �nspection ey <br /> Date Inspected <br /> SEE SKETCH ATTACHED <br /> INSPCCTION �' � �� � "S <br />