Laserfiche WebLink
li) <br />� <br />s <br />� ������'��`� ��� <br />m --+ t�c��tn o u� � �o-. <br />� u� ,=i �:: � � o M c{ o <br />°' r � <br />Sewer Appli��jion ���sI;-��m�j�� <br />ii Oi.�iuu0��p f� �F��w3 �� <br />2i �Q �� W Cu��k C] �� w. t�Y.-��j <br />:. 2�9 3� 5 DATE s/2e/93 <br />za s6cn �i se <br />Servir.e Address — Utility Account No. <br />P, �,� 14410 Bol-P.ed Rd /200 <br />I � Address <br />B 11 WA 98005 <br />�, State, Zip ° evue <br />Owner Calony Craft <br />Connection by �� �� � <br />Address <br />Phone <br />'Legal Description: <br />Lot • 74 _ <br />Block <br />Plat klfma6roek Div 2 _ <br />Unplatted Description: _ _ <br />Type c' Permit Itiaw connection <br />Remarks _ <br />IMPORTANT! <br />CALL 1-800-424-5555 48-HOURS <br />PRIQR TO DIGGING <br />CALL 259-8810 FOR INSPECTION <br />CHART NO. <br />TO POSTING <br />Permit Fee $ <br />Connection Charge <br />Trunk $ <br />Lateral $ <br />Total Connection Charge $ <br />Utility Development Fee <br />70.00 <br />:7�D <br />Water $ zz4.00 <br />Sewer $ <br />Total �evelopm�nt Fee $ 224.00 <br />ULLD 91 <br />Sewer Bond District <br />Abutting Lot Line <br />N, S, E, W — ft. <br />Approved By — <br />8ti <br />Issued By — <br />Customer Signature V ' ` - �- `"� " " `` '�' <br />InspectionBy ��`'/='u^ — <br />Date Inspected �''' Z "`� � — <br />SEE SKETCH ATTACHED <br />INSPECTION ��'. 2 3 3 g��7 <br />