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i.___'_-___"____'_..__.--�—TA:�."___. _ .. . . . . - . ___. ."_. '______—"__ __.. <br /> . � . :�.•_. . .: ., - ., ._, . , �- 'I.. .. . ., � i <br /> � CHART NO. ' <br /> �'�.�/ :� <br /> rv�✓ <br /> _ TO P�STING-�.��.. � <br /> . , _ _, �, ,_ , -, _ , , _, <br /> ,� - , -, <br /> - � ,:� c; .:; -_� c. o �; <br /> . , � - u - .. c C- .-i Oai <br /> . . . � u� � . - +» o^. �q <br /> � c. <br /> , ��w�r Appli��t6on a�d Pe�rrnit t� � �. � � <br /> . i. i , i � - - " �i o w -. � <br /> I � ) � � � C` , �'1 � �_• � � �� �� .� � w ~ ' <br /> _ � , O <br /> �. � — 4. ,,, .� r I <br /> ' !' ' DATE 12/23/92 I <br /> � _. ._ � I <br /> ti'll 4Uth P1 <br /> Service Address Utility Account No. � <br /> Bil!ing Address 3240 Lraetluke Ava E i�200 <br /> City, State, Zip Seaetle WA 98102 Permit Fee $ 70.�a � <br /> Owner naliv Homea Connection Charge <br /> � Connectionby Serv�.� F_,.en,.. Trunk $ <br /> i I <br /> Address Lateral $ <br /> 0.00 <br /> Total Connection Charge $ i <br /> Phone Utility Development Fee <br /> Le�al Description: Water $ 224.00 ' <br /> Lot 38 Sewer $ SS9.00 I <br /> Block Total Development Fee $ a1� nn <br /> Sil:✓crliacak <br /> Plat <br /> Unplatted Description: Sewer Bond District — <br /> _ Abulting Lot Line <br /> i I <br /> � — N, S, E, W ft. I <br /> Type oi Permit _ New connection Approved By <br /> � <br /> Remarks issued By �R �_ 1 <br /> Customer S(gnature — <br /> IAIiPORTANT! <br /> CALL 1-800-424-5555 48-HOURS <br /> PRIOR TO DIGGING <br /> Inspection By �%u/�l�i� <br /> CALL 259-8810 FOR INSPECTIOIV <br /> Date Inspected �-�- s'3 <br /> SEE SKETCH ATTACHED <br /> INSPECTION ' Z 9�'Ej 9 <br /> _ —.�__:-._ -- - - -'_;, �"- <br /> ;. '�--_,.-,`.�.... .z_ - ' n�i �"yJ�� �sca�vasazdli�'r-s�ir�+a��.�,� � ....- <br />�l•�-.:�.�i•��t..l�!K"ron� ��I�} N��ai� '_ <br />