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�:,--- - ---. -- --- -- . . CHART NO. — <br /> � <br /> � <br /> � <br /> � <br /> ��� �li TO POSTING fr'a7 �93 <br /> � �w ' , <br /> K ~ '� Sewer A�yplication and Permit � <br /> � <br /> ��� <br /> ��� II 2�)^.7 ? DATE �'9-9� <br /> O i-yi d 1191 I SILVEF I.Ant: DR UBlity Accouot No. — �� <br /> x�g Service Address —. <br /> 4� O Z_]!'i 150TF1 P1. St1 <br /> ri Billing Address - <br /> x H� I LY21nWa�D WA 9H077 Permit Fee $ 70.00 <br /> � Ciry, State,Zip <br /> M � <br /> g N Owner ;nU;:nVIEH Rt:yTnLS (51'EVE Cte>t) Connection Charge <br /> n � j $ 141.00 <br /> ��r I Trunk --- <br /> �� Connection by $ <br /> �w Address Lateral I <br /> � I Total Connection Charge $ <br /> 1G1.00 <br /> I Phone Utility Development Fee <br /> � Water $ — ' <br /> I �� I Legal Description: — <br /> Sewer $ <br /> � Lot <br /> -�- <br /> Block Total Deve!opment Fee S <br /> � �� I Plat <br /> III <br /> Unplatted Description: Sewer Bond District <br /> � I Aburiing Lot Line I, <br /> I �I I i _ N,S,E,W � <br /> ' Approved By f:a � � <br /> � Type ot Permit NEW COt�NECTIO� ' � <br /> ��� � ?tIl , _ �' � ��� �, <br /> � I Rsmerks Credit af 5189 givun on Bond 1II � Issued By <br /> ��� � }{S �� � � � .'. <br /> aid on �eue- t�ill ESnce G/H6 CuStOmerSlgnetUfe� P �--� <br /> I Ilil-AS p � � <br /> ��, I IMPURTANTI <br /> I CALL 1-500-424-5555 48-HOURS <br /> PRIOR TO DIGGING � <br /> � � — , <br /> Inspeclion By <br /> 'i <br /> CALL 259•8810 FOR INSPECTION Date Inspecred - ' <br /> , <br /> � SEE SKETCH ATTACHED o � �� � <br /> � INSPECTION ' '" <br /> � _ l <br /> I - _ <br />