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r-.---------- <br /> --------- -- --- - -- -- - -- <br /> i CHART N0. -__-__ <br />�� TO POSTI�!G---r�-s-s3 <br /> ,L� iE1T = <br /> � - - <br /> II <br /> � Sewer Applicatior� and Permit << �, �� <br /> GIJ -4{_ J <br /> U� . 1 . <br /> � <br /> ?�O U Q DATE 12h:/5z _ <br /> Service Address 605 40ch Pl Utility Account No. — <br /> Billing Address 3240 Enetlaka Ave L' 0200 <br /> � Seattle AA 93102 PermitFee $ 70.00 <br /> City,State,Zip — <br /> Owner D¢lly Hoc�ee Inc Connection Charge <br /> i Connectionby Ser��« Cxc�., Trunk $ <br /> �� Address Lateral $ <br /> Total Connection Charge $ 0.00 � <br /> Phone Utiliry Development Fee � <br /> �I Legal Description: Water $ 224.00 <br /> ILot 43 3ewer $ St39.00 <br /> I Block — Total Development Fee 5_ ��3.00 <br /> I p�y� Silverhnvk <br /> iUnplatled Descriptien: Sewer Bund D'.strict <br /> i Abui�ing Lot Line <br /> I N.S�E,W R. <br /> �� Type et Permit 0ew connectlon _ qpproved By <br /> I <br /> Remarks Issued By C` <br /> CustomerSignaWre �� <br /> IMPORTANTI <br /> �I <br /> � CALL1•800-424-5555 46-HOURS <br /> PRIOR TO DIGGING ////--- / <br /> Inspedion By � n�L�/+�o^ . <br /> CALL 259-8810 FOR INSPECTION <br /> _.. Datelnspected j-8- J3 <br /> SEE SKETCH ATTACHED <br /> INSPECTION - ��� t C� '% <br /> , j�4, . . �.r,�:, ��ri �d'"ts�' � . " � � j��,'.. <br /> �, � .� �r �a�: _ <br /> ,�����.'.`�k'�� :au���� 7�`'���.___ _ . s���St'., .. , ' . :1:�3� <br />