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, _._.. . _.__.�_. ' ._._____ <br /> . . . _ . _. . .�. ' ' _ <br /> . �- . . . . . � . , ... . . .. I � . . .. � . -. � F <br /> a� CHl�t�T NO. _ � � <br /> �:� ! <br /> I � <br /> / r�%� T^. PGSTING � ���'� S� <br /> � �� - , = - <br /> ; _, � <br /> � ;� - � :,; <br /> � „ _ << <; <br /> ,' �er�ver �4ppl�cation and: P�rr�iif� _ �,� � <br /> �5 � � � ,.. � I <br /> i . =1 ~ '1 �-4 [ <br /> � '' � '.; _; ; DATE i2/�����.� , � ,�� � �,� , <br /> i <br /> I Service Address t 25 �i0ci� ^1 \� <br /> Utilit; Account No. <br /> I B�IIingAddress :�240 Eaeitlaka Ave E ' i <br /> iCity, State, 'Lip _ seuetl� WA 198102 Permit Fee $ 70.00 � <br /> IOwner _4n.L�� u,,r�a ConnectionCharge <br /> i Connection by _ __ Trunk $ <br /> Address Lateral $ I <br /> i Total Connection Charge $ —0— I I <br /> Phone Utility Develcpment Fee j <br /> I <br /> Legal Description: Water $ 224.0o i <br /> i Lot Lot :.., 5+];�,_,�l�a:;l: 5(3�.00 I <br /> Sewer $ <br /> iBlock . Total Develop�nent Fee $ II13.00 I <br /> Plat <br /> IUnplatted Description: Sewer Bond District I <br /> I — <br /> ' Abutting Lot Line <br /> i �� �� E� w ft. i <br /> Type oi Permit -��ti conneccion Approved By <br /> ' Remarks Issued By (�o <br /> ' I <br /> ' Customer Sign2ture <br /> IMPORTANT! � <br /> I � <br /> I <br /> CALL 1-800-424-F.a55 48-HOURS <br /> � PRIOR TO DIGGING � <br /> CALL 259-8810 FO <br /> Inspection By `���c'/fr� ���, <br /> i R iNSPECTION <br /> : _ ;, Date inspected C' � �� <br /> I / / � I <br /> � <br /> SEE SKETCH ATTACHED � <br /> INSPECTION z y 5 4 .; I <br /> �_ __ _ ____ __ ____ ___ _ ____ ____ _ ___ ____ _____J <br /> _ _ _ _ _ - __ �.� <br />