|
..�.�.�.n..�,�
<br /> --
<br /> _ - - --
<br /> , - -- -_ ---.- -
<br />� � �_': � !� � CHART N0. —
<br /> I
<br /> ' �'� �OSTING �-z�-�
<br /> i
<br /> , .�;,
<br /> I .i� -' _ ,:� 4? O r.- '
<br /> ="; � tnu c�i c".r� o �5
<br /> _ J) C+ .i't Q n [�• y �•}l �
<br /> •• L�� �:F A r1 eF � G�
<br /> .. W �1
<br /> Sewer Application and Perr�it _ ,_ � p� `� � " '
<br /> , _, :-� � � � � --
<br /> V l�! `i l� CJ
<br /> c: , `� -, :�� ro _.: i- iy
<br /> � - -� T �, ��� ,. r �
<br /> � L�J � :,. � c. � _ - , - _
<br /> DATE iz/221��
<br /> � 717 4�th P1
<br /> 5ervice Address Utility Account No. _—_
<br /> Billing Address 324U �uetlako 9ve E _
<br /> City, St2te, Zip Seattle WA 9£i102 _ permiY Fee $ ��'��
<br /> Owner _ llallv Homes Connection Charge
<br /> � ,
<br /> Connection by �-✓�., Li �v�c Trunk $ ,
<br /> Address Lateral $
<br /> Total Connection Charge $ -'�'
<br /> Phone Utility Development Fee
<br /> Legal Description: Water $ 179.00
<br /> Lot 3�i ��ilverhai�ic ___i Sewer g b71.00 '"
<br /> Block Total Development Fee $ 55Q.00
<br />� Plat
<br />, I Unplatted Description: Sewer Bond Uistrict
<br /> — Abutting Lot Line
<br /> N, S, E, W ft.
<br /> Type of Permit :�`c:� eonneccion Approved By
<br /> Remarks Issued By �'L° '
<br /> i
<br /> i ; Customer Signature _
<br /> i IMPORTANT!
<br /> � CALL 1-800-424-5555 48-HOURS
<br /> PRIOR TO DIGGING
<br />! CALL 259-8810 FOR INSPECTIAN Inspection ey �'�P �/�A'ti
<br /> � Date Inspected ��l`�' S y
<br /> I
<br /> ISEE SKETCH ATTACHED
<br /> li 'I INSPECTION ' 2 9 5 G 2
<br /> �
<br /> i
<br />� -
<br />' _� .�.�.. ,. u_ - — — . _n =—
<br />�;� ,.qS n��:"_ . . ' s ���:� .. --.... .. . ��. . �;'.� . :�F 5 �U n:': �
<br /> A� � .:..: _ .� ..� R r Z • _ 'd'Ei .. ^�".".ss�
<br /> i4 '?A{�• � k ♦ '_. ' -'�a�r,S _ ' --x_�.':-.; .-:
<br /> I r. .__ �_������ _ - . �� ,r,'�..
<br /> K�� . +- {' �' - .' ` '. .
<br />� ��t{ri4d . . •.._ti..;.., .°� �.-- _.�.„„�-.,,,„��..s�.,..' .
<br /> `t'•-E,N, -,�- ,. ,. .:; h^r,�,,,.✓"l.nw+?rr.*'+mv�.� � .. f, . ,� .f�'°`••._
<br /> rc "_" �
<br /> _...,� . s"m'�."'"�•wa''�::,s�;. M .�k �=�R . ��� „ F.:a �r.�.:-..,:•.• ....�.,�„�r -..iyen•a:-M"m."�" ..._.....,.
<br /> ..,`-,...... � .. ... . e _.• � ..,�...�
<br />.. . ,+ . �.7v. ..�.:rtK^mo ,:"..yxv..... _. . . . "'_� .._i .. . ,L .
<br />
|