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� _ _ _ __ __ _____ __ . . - . y...�_.. <br /> -_ . __ __ . <br /> - - - _ <br /> ..._, CHART N0. <br /> .__1. : <br /> ! �EI/ _ , <br /> TO Pc__. .� y-zs-� <br /> � ���� � - , n � . <br /> �:�> - <br /> ,. - ,,; <br /> _� <br /> I Sewer �4ppliGatio�n,; and_ Pe��mit <br /> � . :- � � , �: - � <br /> � - <br /> ' :' ''� i '' DATE 7/i�,/��'s <br /> � 70I 41st Pl Utility Account No. � <br /> Service Address � <br /> 3224 Eastlnke Ava I: i.�7.00 , � <br /> Billing Address , � <br /> Seattla WA 9310'L ; ��'���� --- <br /> City, State,Zip Permit Fee $ <br /> Owner Ually liomee Connection Charge <br /> i <br /> Trunk $ — i <br /> Connection by ! <br /> Address Lateral � <br /> Total Connection Charge $ -�- <br /> ' Pho�e Utility Development Fee '� <br /> , Legal Deascription: <br /> Water $ 179.00 , <br /> � Lot _ 17 Sewer $ 471.nG <br /> � <br /> Total Development Fee $ (507AA I <br /> I Block — , <br /> I P�2f _ S1 i�r��rh•i�.�l - - li <br /> I <br /> � Unplatted Description: Sewer Bond District <br /> � Abutting Lot Line <br /> � N� S� E�W ft. <br /> �, Type of Perc�it �e�.- co�u�ec[ion Approved By <br /> gb <br /> � Remarks _ issued By <br /> �� Customer Signature�� ' ' ` � �' ,�� '� ' � <br /> II IMPORTANT! I <br /> � I <br /> CALL 1-800-424-5555 48-HOURS � <br /> ; PRIOR TO DIGGING /' / / ! <br /> � Inspection Fiy � '����� h�A�� ; <br /> � CALL 259-8810 FOR INSPECTION o .`i 3 � <br /> I Date inspected ��3 — <br /> � �� <br /> I I� <br /> k �tEE SKETCH ATTACHED �9 3 �Q � <br /> i INSPECTION <br /> - � <br /> ,._ :,�,� <br /> _ _ - - _ `�� <br /> � <br /> +, <br /> �% ; ' <br />�' ,ri, <br />:, " - <br /> M��l��=,�.:�i'�3,.``�'!�d.ar�a�Ji�w,��.ai�m.�+�r�.�1�'d"'�'�'.Sra�F':��)a��. ��ekPt;/'.;w� � �... `:'�?'��, <br />