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�� <br />� <br />� <br />� ��;����g:�; e, <br />� . . e <br />[J M O� O O d V] <br />(: O .-� � +.+ � C�l �''+ O <br />r.� � w ca W T+ <br />r � � ;n r�� �� r <br />Sewer Application �ra� Per�i� 4 � � <br />� i��o�.'� ���z ��'�i <br />v', ���ii4i�,�i.-�� <br />`'' 2 9 7 3 3 DATE � 5-3-94 <br />Service Address z402 56th St SW <br />Billing Address �5517 NE 42nd Pl <br />City, St8t8, Zip Rndmond WA • 98053 <br />��� Bruce Rohbins <br />Connection by _ 7T� � � <br />Address <br />Phone <br />Lepal Description: <br />�,p� 82 Povdez N121 Nighlende Div 2 <br />Block <br />Plat . <br />Unplatted Deacriptlon: <br />Type of Permft aev connaction <br />Remarks <br />IMFiQrRTANT! <br />CALL 1-800-42M5555 48-HOURS <br />PRIOR TO DIGGING <br />CALL 259-8810 FOR INSPECTION <br />Utility Account No. <br />Permit Fee $ <br />Connection Charge <br />Trunk <br />CHART N� <br />TO PO' <br />LG'� G UN <br />G •[d � <br />d C�� <br />w -. <br />., <br />Laterel <br />Total ConnecNon Charge <br />Utility Development Fee <br />Water <br />Sewer <br />Total Development Fee <br />Sewer Bond Dfst�ict <br />Abuttfng Lot Line <br />N, S, E, W _ <br />Approved By _ <br />ISSUBd By <br />Customer Signature <br />;iEi <br />70.00 - <br />$ 224.00 <br />Z � <br />$ 224.00 <br />Inspection By '✓ �* �F /�� <br />Date Inspected s- �'""`�i <br />SEE SKETCH ATTACHED :.So ? g 7 3 3 <br />INSPECTION �•- L <br />ft. <br />