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y�:::,.- � - -. <br />�.. �_. ' __ � t�°i.� �. >+.�.1�z.:� . ' _ _ . .. <br />ICHARI'NO , <br />C <br />� <br />�' J <br />� ;T� � <br />0 <br />Sewer Applicatiorr a`i�.d Permit <br />�,,,; =; <br />.' 29175 DATE � 4/�B/93 <br />2113 Virginia <br />Service Address <br />Billing Address $8`°4 <br />City, State, Zip Fveree[ wA 992Q1 <br />Owner r�. u i ti+ <br />COnn9cti0��by Tncoma Plumbing S HcatinR <br />Address Po Rox 44601 <br />T n 411 �fll.S,� <br />Phone <br />Legal Description: <br />Lot <br />: . «� <br />Plat <br />Unplatted Description: <br />Type of Permit Mlteration <br />Remarks <br />IMPORTANT! <br />CALL 1-800-424-5555 48-HOURS <br />PRIOR TO DIGGING <br />CALL 259-8810 FOR INSPECTION <br />Utility Account No. <br />I1 <br />T� POSTING ��= �I <br />Permit Fee $ �. <br />Connection Charge <br />Trunk <br />Lateral <br />Totai Connection Charge <br />Utility Development Fee <br />Water <br />Sewer <br />Total Development Fee <br />$ <br />$ <br />$ <br />Sewer Bond District <br />Abutting Lot Line <br />NSEW ft. <br />Approved By — <br />gb <br />Issued By �— <br />, , ( <br />Customer Signamre � � ~ � <br />0 ��e�`oN ( <br />� �� <br />Inspection By - <br />Date Inspected <br />SEE SKETCH ATTACHED �.,�, � 9 � � r <br />INSPECTION ` • <br />� <br />