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�,. .-. <br /> --- --- -- - -- - --- -- --- <br /> � ---- -------�---- --- _ , <br /> --- -- ,,. <br /> _ . . :._. .. . _ , <br /> i . <br /> �i CHART NO. <br /> � <br /> i :i <br /> I <br /> � � <br /> �' ' TO POSl"ING�o-��q� <br /> ; ��i r: - ' <br /> , , r i <br /> ��v�er ,�ppiication�and: Permi$ , <br /> , _ . , - <br /> ,, � , . _ <br /> .. � �_� . -. _: - <br /> � ? � � q 2 UATE` 'S-i t-�3 <br /> � <br /> ' Service Address �21 40th Pl Utiliry Nccount No. <br /> � 3240 Easelak - Avc E <br /> I <br /> Billing Address <br /> ICiry, State, Zip `�"1ttle WA 98107. Permit Fee $ _ _70.04 <br /> Owner Dally Hones Inc Connection Charge , <br /> Ci�nnectionby �r�� �vic � �sw�..,.'..�- Trunk $ �, <br /> Address Lateral $ — <br /> Total Connection Charge $ -0- I <br /> � <br /> I <br /> Phone 323-:,770 Utility Development Fee ' <br /> Legal Descriptie�: Water $ 179.00 <br /> Lot 3� �'i:O °rc���rve at Forc+r.t Fa:'1: Sewer $ 471.00 <br /> I Block Total Deveiopment Fee $ 650.00 <br /> ; <br /> I Plat <br /> � Unplatted Description: Sewer Bond District <br /> I <br /> Abutting Lot Line <br /> N� S, E� W h• <br /> � <br /> Type of Permit �`ew coru:ectiun Approved By <br /> Remarks <br /> Issued By ttN . <br /> Customer Signature_ � � <br /> i <br /> ', lAflPORTANT! <br /> ' CALL '1-800-424-5555 48-NOURS � <br /> II PHIOR TO DIGGING ' , ' <br /> / i <br /> Inspection By -�G�'/yJv" <br /> � CALL 255-8810 F�JR INSPECTiON� � �� y,j <br /> Date Inspected � <br /> i <br /> I I� <br /> ISEE S6CETCH ATTACHED ? J , � � <br /> , INSPECTION <br /> ,I <br /> -_..t.m„ _ . _ __ �. _. --•.r I <br /> K ...\.-�vs:�+__.�._....1-- . , .. . ... . . .�� <br /> ...�. .. �p.�- ... _ . . . . _ � ... ��� "'_ y <br /> f, _. ._ ... . _ . . -15 +i-JaC__ ___ <br /> .. . � __ ,r . �.. . . .. _� __� <br /> , . <br /> �— _::� _ . � . .. � _ . . <br />