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POP <br />EBBS 8 888 <br />1�• YF M W H <br />Sewer Applicatir g �rmit <br />n4545-L <br />' 29164 DATE 4/23/93 <br />CHART NO. <br />TO POSTING-zLL <br />Service Address <br />621 40th Pi <br />'. Account No. <br />Billing Address <br />3240 Zastjahp Ave <br />City, State, Zip <br />Seattle WA 98102 <br />Permit Fee $ 70.00 <br />Owner <br />Dally Homes Inc <br />Connection Charge <br />Connection by <br />.�'rurre T�N�,,..P <br />Trunk <br />$ <br />Address <br />Lateral $ <br />Phone <br />Legal Description: <br />Lot 40 <br />Block <br />Total Connection Charge $ 0.00 <br />Utility Development Fee <br />Water <br />Sewer <br />Total Development Fee <br />Plat Silverhnwk <br />Unplatted Cescription: Sewer Bond District <br />Type of Permit <br />Remarks <br />New connection <br />IMPORTANTI <br />CALL 1-800-424-5555 48-HOURS <br />PRIOR TO DIGGING <br />CALL 259-8810 FOR INSPECTION <br />SEE SKETCH ATTACHED <br />$ 224.00 <br />$ 589.00 <br />$ 813.00 <br />Abutting Lot Line <br />N, S. E, W ft. <br />Approved By <br />Issued By Rb <br />1 <br />Customer Signature - , � A An� <br />r <br />Inspection By <br />Date Inspected S/f - S 3 <br />INSPECTION <br />2s1s� <br />