Laserfiche WebLink
�- _ <br /> l <br />� <br /> t <br /> I <br />, ;, <br />' CHART NO. - _ _ <br /> i <br /> Ta PosriNc ��_,�=�-- <br /> � _ � '� _ _ <br /> . , . _. . _ .. ti .. . <br /> � <br /> Sewer Application and Perrviit ' � � � <br /> a� a <br /> �' '- G � f.l �=:- <br /> , . � - . - S �.- ._ <br /> ' � - " <br /> .., , r � I2�23�92 - _ <br /> . 'J � �; DATE <br /> 70L 41st pl <br /> Service Address U:ility Account No. <br /> Billing Address 3240 Eaetlake Ave E C2U0 <br /> City, State, Zip Ser�ttle WA 98102 permit Fee $ ' ''"'� <br /> Owner Dally Homer; Inc Connection Charge <br /> Connection by �r�r v�r � E x c�, ✓. Trunk � <br /> Address Lateral $ <br /> Total Connection Charge $ 0.00 <br /> Phone Utility Development Fee <br /> Legal Description: Water $ 224.00 _ � <br /> Lot 15 Sewer � S�i9.�� <br /> Block Totai Development Fee $ '�t�'.�� � <br /> Plat �ilve�.fia�alc <br /> Unplatted Description: _ Sewer Bond District <br /> Abutting Lot Line <br /> N, g, E, Vy ft. <br /> Y.ecr cncticc[iot; <br /> Type of Permit _ Approved By <br /> Remarks Issued By -- �� <br /> Customer Signature ` <br /> IMPORTAN'T! <br /> CALL 1-800-424-5555 48-HOURS <br /> PRIOR TO DIGGING � <br /> Inspection By �����'�%<'^ <br /> CALL 259-8810 FOR INSPECTION <br /> Date Inspected 1 � `� � ' � ' <br /> SEE SKFTCH ATG'ACHED <br /> INSP[CTION � <br /> ,,.,,..��_��_ ----.. . ,� ✓:N; - .�, ��..� . :::; � �,^,,,.::: . � .. .,.:-I <br /> � p�" y'"`Y��� � •� "�li'.: nr i�.:.� '�;.�s,,, ; �' _?7 <br /> �j� M .. . . �� �... . . ... � <br /> ��.. 'f . � . .... "a�4W...._. '�� Y .e.�.y.. . .�' ".'�CrrWiY.... .r� <br /> .,...._ �'4.{�°�ve:�:n..YS .. . .. . . . , . . <br /> . . �'S'ti.� ..n . . �t..Y�...:.. �. .0 <br />