Laserfiche WebLink
z, <br />�- <br />�; <br />�;o41� i:ruU <br />-� i � <br /><. i��5�c��� �r.Q� i <br />q_ . . . . . <br />.r ^+ Cl Cjl O K- C� Y.:J t l <br />t"� ^J r+ �.. —a �n f9 •.. r.l ( <br />-� r� � i�i w. ;� f.� <br />..Y rl pi 41 � 1 <br />n H} <br />5ewer Application �d P� � <br />.� <br />�-+ � �� <br />:� C-iSn�LJc3NS � 3 C,t='E <br />� �S w-,� Fr'St�_'�., <br />� r. �uG_'F_ �uGiu .+ <br />:{:: ?. 9 6 4 5 DATE ^-1:-�4 <br />Service Address 2409 SSth St <br />BillingAddre53 —�4410 Bel Red Rd ,q200 <br />CUy, Stete, Zip $ellewe WA 98007 <br />Countryvood Homed'� ��� <br />Owner � <br />Connection by l <br />Address <br />Phone <br />Legal Description: <br />�t 67 <br />Block <br />Utility Accour�t No. <br />Permit Fee $ <br />Connection Charge <br />Trunk <br />CHART NO. <br />i q <br />� <br />� m <br />I N <br />. h <br />� <br />TO POSTING� d�.3I.�.� <br />Lateral <br />Total Connection Charge <br />Utflity Development Fee <br />Water <br />Sewer <br />Totai Development Fee <br />Plat P�+der Mil.l Aighland Div 2 <br />Unplalled Description: _ Sewer Bond District <br />Type of Permfl nav conneccion <br />Remarks <br />IMPORTANT! <br />CALL 1-800-424-5555 48-HOURS <br />PRIOR TO DIGGING <br />CALL 259-8810 FOR INSPECTIQN <br />Abutting Lot Line <br />N, S, E, W _ <br />Approved By <br />Issued By � <br />Customer Signature — <br />$ <br />a <br />$ <br />$ <br />$ <br />$ <br />224.00 <br />224.00 <br />Inspection By _____'i�/ �P 6J/� <br />Date Inspected 3"�^ 9y <br />SEE SKETCH ATTACHED <br />INSPECTION : � � � � � a '�-� <br />n. <br />1 <br />