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X� <br /> I ' r. fK . 'fV1.-4'i1�.�li�� . . ,• <br /> I \ �.� .�- . . 'y, . �, . .. �+�. �•. . _ . . r�.. i <br /> � CHART NO. <br /> � � <br /> I �: I <br /> jj = � <br /> i ;� �. ��, � �, = � TO POSTIHG j2 -Zs-9r i <br /> �� J � r_ r') ���- <br /> ;� Vl I <br /> ^ «� ' v <br /> � Sewer Application and� ,���r�nit�' <br /> � �� � w _: � .�. � p�'� .� � <br /> . . 2 ��$ Q � - r- 4 't. ... ..; �; <br /> � � `� � _� r� [: = b � = I . <br /> DATE 7-1-94 � <br /> SBrvice Address 7420 UpAer Ridge Rd I <br /> Utility Account No. I <br /> BillingAddress 5703 6'estport kynd — <br /> City, Stete,Zip �oncouver �C V7W Qy1 � <br /> PermitFee $ 70.00 I <br /> Owner Sherger Lnnd Cozp <br /> Connection Charge � <br /> Connection by ����� l— u 5�— <br /> Trunk $ I <br /> Address <br /> Lateral $ j <br /> � <br /> Total Connection Charge $ 'Q— � <br /> i <br /> Phone � <br /> Utility Development Fee <br /> Legal Descr'ption: � <br /> Water g —o— i <br /> Lot S8 <br /> Sewer $ 471.00 i <br /> BbCk , <br /> Total Development Fee $ 471.00 j <br /> p�t Beverly Acrenp,e Tracte � <br /> I <br /> Unplatted Descdption: i <br /> Sewer Bond District <br /> Abutting Lot Line I <br /> I <br /> N, S, E,W � i <br /> Type of Permit riev com:ection �p I <br /> Approved By <br /> Re�narks <br /> ISsued By ''�H I <br /> Customer Signature i <br /> IMPORTANT! � <br /> � <br /> CALL 1-800-424-5555 48-HOURS I <br /> PRIOR TO DIGGING ' � <br /> CALL 259-8810 FOR INSPECTICyN Inspection By�.�? �� �'u-y+ -� I <br /> IDate Inspected /1 - z z • q y ; <br /> i <br /> II SEE SKETCN ATTACHED I <br /> INSPECTION , , 2 9 7$ Q I <br /> �`� i <br /> -- — _ _ I <br />