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I �7 CHART NO. ------ <br /> . <br /> �`�n- � I�� <br /> m�x - ,_ - _TO POSTINC s-� �-�s <br /> , . <br /> a y v� -�_." <br /> r x '`, t, _ <br /> r-i a� �. <br /> : ' � <br /> " y� �e�►ver Application and: Permit , <br /> H �O , - . � � _ . <br /> i <br /> � o�i � 5 ' r, , DA7E ='/�/9� � <br /> H C1 '• - , . . <br /> � �� Service Address �120 41et Pl Utiiity Account No. <br /> z H� 3240 Lastlnko Ave E 9200 <br /> � H z Billing Address — <br /> g �y City, State,Zip Sauttle NA 98102 Permit Fee $ 70.00 I <br /> H <br /> n d y llally liot2es Inc <br /> � �n Owner Connection Charge <br /> z '��' Connectionby -`>����« tx «� � — Trunk $ <br /> H O Cn <br /> Address — Lateral $ ' <br /> _ Total Connection Charge $_ �'�� � <br /> '^�'j Phone Utility Development Fee �� <br /> ! 179.OU <br /> � ' Legsl Description: Water $ ._ <br /> i <br /> '� <br /> � Lot 7 — Sewer $ 471.00 <br /> �7 <br /> Block Total Development Fee S e5n 00 <br /> �� Plat Silvenc�wk nt Poreet Pk <br /> A.�� Unplatte� Description: Sewer Bond District <br /> �`� Abutting Lot Line <br /> � N� S, E,W ft. <br /> �-'i i <br /> Type o( Peimit [iew conuectiou Approved By <br /> GB <br /> � ! Remarks _ Issued By <br /> � , � a1i <br /> ��� (l� 1� ; �1%lI l� l l <br /> _ _ Customer Signature <br /> ��l� IMPORTANT! <br /> i <br /> CALL 1-800-424-5555 48-HOURS <br /> ' ' PRIOR TO DIGGING (/ <br /> I Inspection By �"���' � ^ <br /> CL:LL 259-8810 FOH INSPECTiON <br /> � „ Date Inspected � � '� �� '`' L <br />� <br /> i I <br /> SEE SKETCH A'tTACHED � ,, ,��� <br /> I INSPECTION - �- '� '+- <br /> -- �.'�. _ �S��PfS�a.., :. <br />