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� <br /> i <br /> i <br /> I <br /> I <br /> I <br /> � <br /> � <br /> � <br /> r,Hl�NT NO. � <br /> `"""'�, i <br /> ��� � <br /> �h' � , <br /> � S-�7 z- <br /> � TQ P�?�riNG ---- � <br /> �y <br /> � � <br /> >yv, I <br /> � �� �ew�er ppplicatior� and Perrnit <br /> 'TJ H'�J . � � <br /> U]H .. ... . - . . . � .. . � _. <br /> -�-� oC� ,.;, : . ;)ATE 9/3/9z <br /> H t7 � <br /> 616 43et P1 I <br /> � �p Service Ad�'�ess — __ Ulility Account No. — � <br /> �" � J240 Enetlaka Ave L !i200 � <br /> z H� Bil!ing AdtJress � <br /> Senttle WA 98102 7G.00 i <br /> r y z Ciry, State,Zip Permit Fee $ <br /> � �ty � I <br /> y Owner llally llonce Inc Connection Charge - <br /> � �� � <br /> ta Connection by � �'�'� ��' �� ��� Trunk $ <br /> z y v, I, <br /> " o�' Address Lateral $ � <br /> Total Connection Charge $ <br /> G.Oo j <br /> �. <br /> Phone Utility Development Fee <br /> Legal Description: Waler $ ZZ4'�� i <br /> ���� � Sewer $ 589.00 <br /> Lot <br /> �`1 <br /> Block Total Development Feo $ 41''�� <br /> ��� Plat :�1��'^ritmak nt Toreet Pk <br /> +,u� <br /> Unplatted Description: _ Sewer Bond District <br /> �_ <br /> ��= Abutlinc� Lot Line � <br />� N, S, E, W tt' j <br /> �� ' <br /> ���� Type of Permil . ���W conneceiou , Approved Ey <br /> Remarks Issued By <br /> cr <br /> 0�'m' � <br /> o� � _ Customer Signature � <br /> IMPORTANT! <br /> . �` II <br /> � CALL 1-800-424-5555 48-HOURS I <br /> PRIOR TO DIGGING / ! <br /> ` InspectionBy " �5� �l'�' "' <br /> CALL 259•8810 FOR INSPE�TION /j_� y � L � <br /> Date Inspected I <br /> I <br /> SEE SKETCH ATTACHED <br /> INSPEGTION <br /> �-_ __ <br /> -- --- - � _ - <br />