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----- <br /> , , :� r^- �s;•.--�- _ <br /> �:.: - ... - — - _ . _ - <br /> .,:- ,,. _ —�._ <br /> _ z � : ..,-.. ;... � <br /> '" ` . CHART NO. + <br /> `�: <br /> t : <br /> �� <br /> � ' +� -' �, - rs ? � ; � rh €�ncT��G_ �r—i'—'�/.-_� 3 I <br /> � � — - �.� Q ,._, ,,. � <br /> � .. � . �y �. fp � <br /> ' ' . f4 2I4 �-t <br /> Sewer Applicafion ancl Pe`rmit ! <br /> , �� i <br /> . ?_ 9 9 73 DATE 4/�7/93 � <br /> � 702-41st P1 <br /> I Service Address Utility Account No. <br /> i Billing Address 3240 Eaetluke Ave L� I <br /> � Ci: State, Zi Seaetle WA 981U2 $ �p�80 � <br /> � Y. P Permit Fee __ <br /> i Owner Dally Iiomee Inc <br /> Connection Charge <br /> � Connec�ionby �Pr�,« �kca ,. I ' <br /> Trunk $ <br /> _ - . i <br /> Address Lateral $ <br /> , Totai Connection Charge $ ��'�� I <br /> � Phons Utility Development Fee ; <br /> ; Legal Description: $ 224.00 � � <br /> Water <br /> Lot 1G _ Sewer $ 589.00 ' <br /> �13.00 � <br /> Biock _ Totai Development Fee $ <br /> Piat _ �+t�eTt„�r _ i <br /> � Unp!atted Description: Sewer Bond District <br /> ! Abutting Lot Lins � <br /> N, S, E, W g, �� '� <br /> Type of Permit P:ew conn�ction Approv�d By ; <br /> � � i Remarks _ Issued By �b i� � <br /> � <br /> I Customer Signature I <br /> I <br /> i IMPORTANT! i <br /> I <br /> t <br /> j CALL 1-800-424-5555 48-HOURS <br /> � PRIOR i O DIGGING <br /> i / <br /> iCALL 259-8810 FOR INSPECTION Inspection ey C����=�����'� <br /> i Date Inspected S� � �' �3 � <br /> I I <br /> SEE SKETCH A7TACHED � <br /> INS�ECTION ' 2� � �3 <br /> i <br /> i <br />�r:�..�� -..�,'. _ , ,.,, ,i : �r . . . � . - <br /> . : - . <br /> i�.a...�.�.— <br /> . <br />