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r--. - . -- _ — ------- — <br /> ., CHART NO. _. <br /> / .'. <br /> /� ;_ Tn �+CSTING �z.?�� <br /> y <br /> �-�'. � '' L :%.V ^ � .^1 t' J 8 �� <br /> -i G .: ;J L� - _ _ G'i p I�� " <br /> f: il _ � P <br /> . .. . '.1 � .. M¢l l <br /> � % i <br /> Sewer A�aplication and Piermit` � s <br /> � > 3 _ : � s � �� _ <br /> —' w`� . �_ i c� r �._� j l� � :'. . <br /> . 2 9 0 G 2 DATE 1z/23/v2 _ <br /> Servicc AAdress �07 41eC Pl ___ U�ility Acr.ount No. <br /> Biiling Address 3240 6aeel�ke Ava E@20t1 <br /> City,State,Zip Reett2e WA 96102 ?Crmil FeE. $ 5U.00 _ <br /> Owner _ yal+Tyrma• *�- Connection Charge <br /> Connectlonby T�- ✓7/- �'o ;runk S <br /> Address Laieral 5 , <br /> — Total Connectic�Charge $ 4.OU <br /> f'Ihone Utility Dovelopment Fee <br /> Legal Description: Water $ <br /> 179.00 <br /> Lot 18 Sewer g 471.00 __ <br /> Block Total Dev�lopment Fee $ 650.00 <br /> Plal Silvarliavk <br /> Unplatted Descnption: Sower Bond District _— <br /> Abutling Lot Line <br /> N,S,E,W fl. <br /> Type of Permit Nuv aonnectior Approvad By _ <br /> Remarks Issued By GD <br /> — Customer SignaWre � — <br /> i�IIPORTANTI <br /> CALL 1-800-424•5555 48•HOURS <br /> PRIOR TO DIGGING � <br /> CALL 259-B810 FOR INSPECTION Inspection 9y / ���F��"" <br /> Dato Inspected � �1���� <br /> SEE SKETCH ATTACHED <br /> INSPECTION : �C��� � "- <br />