Laserfiche WebLink
i -.�----- ----- ----- - _ , - - <br /> , ---.-, <br /> � <br /> � CHART NO. <br /> I <br /> � , <br /> �,� �� 0 POSTING �-z -� I <br /> �/ � � : . . <br /> .,: I <br /> ( '1 J � yl 1 1=J <br /> : ou� <br /> [_� n . r� U^ O t^ C r <br /> � pl �. , i�i Ci C- +-•. C <br /> + _� e.+ W <br /> S�wer Ap�,iication r�ar�d __Pei�mi� �� ' . <br /> � ; _ , <br /> r,� _i i.. � . . - . <br /> �- � .. �:� . _. "' . . - 'i <br /> n �� n �i DATE -' � �/9/�3 <br /> Service Address — 025 4utF, Yl Utility Account No. I <br /> Billing Address 3240 �.nnrt„'cn nva r ' i� <br /> � City, State, Zip Seattle GA 98102 Permit Fee $ 70.00 _ I <br /> ' i <br /> Owner Dally itom�s Connection Charge � <br /> Connection by Trunk $ �i <br /> Address Lateral $ � <br /> -0- I I <br /> Totai Connection:.harge $ __ <br /> Phone _ Utility Development Fee <br /> � � <br /> Legal Description: Water $ 2'�''��� _ <br /> Lot 26 Sewer $ 589.00 <br /> Block Total Development Fee $ 813.o0 <br /> IPlat Riinwrhnmk — � <br /> Unplatted Descri�tion: Sewer Bond District ; <br /> Aburiing Lot Line <br /> N, S, E, W h• <br /> IType ot Permit i4ev ccniecti on Approved By <br /> IRemarks _ Issued By �'b <br /> , - <br /> _ Customer Signature % — <br /> IMPOR7ANT! � <br /> CALL 1-800-424-5555 48-HOURS ', <br /> PRIOR TO DIGGING ,/� I <br /> CA:LL 259-8810 FOR INSPECTION Inspection ey �� F��� I <br /> Date Inspected 5'�� '�3 I <br /> i <br /> SEE SKETCH ATTACHED ! <br /> INSPECTION '�" 2 J 3� Z I, <br /> - - - - -- -- __ _-_ _ _ . i <br /> - _._ _ __a.�� �.,.e::..��__ _._._� -- - �., <br />