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� <br />� <br />� <br />:, <br />,� <br />._ i--� n�� y; o n <br />r �� � n t� ri � �. <br />c"5 ri •o o �i •� � .;i <br />:n �, .:; .a • . � <br />;•'i � ��- ` ..- <br />, .�z u� <br />Sewer Application an�� �ermi� � ;u <br />'� Q J J �H � � �t 4 -e' <br />� � fi� C� W G. S' G' � <br />.. 2 9 3 G 5 DATE 6-18-93 <br />Service Address 1510 33rd Se A6B <br />Billing Address 3z32 56th St SW <br />City, StBte, Zip Evezett WA 98203 <br />Owner �Y & Pat N.orton <br />Connection by �11eS� <br />Address <br />Phone <br />Legal Description: <br />Lot <br />Block <br />Plat <br />Unplatted Description: <br />Type of Permit Alteration <br />Remarks <br />IMPORTANT! <br />CALL 1-800-424-5555 a8-HOURS <br />PRIOR TO DIGGING <br />CALL 259-8810 FOR INSPECTION <br />SEE SKETCH ATTACHED <br />Utility Account No. <br />-- ; . , ,..�. <br />� _ , . . ,.:, <br />CHART NO. <br />to �osnNc �� <br />3g�s�`� � ��� <br />i•^c-o��,c ri �o:c <br />�r� :�? .a ` M� �`_' ec c a <br />_ �Y (y� � 'J? � .P <br />Y? O <br />� �. � t':. <br />C^ b7 <br />p (� [� �, y <br />r G��..J O 41 O�—tf_i <br />t �' ry �y <br />:JC �t � h OT(�w <br />=LL i: <1:ai����i�� <br />PermitFee $ 30.00 <br />Connection Charge <br />t <br />Trunk $ <br />Lateral $ <br />Total Connection Charge $ , <br />Utility Development Fee <br />—0— <br />f r, <br />Water $ 261.00 <br />Sewer g 688.00 i y:'�, <br />Total Development Fee $ 9k9•00 <br />Sewer Bond District — <br />Abutting Lot Line <br />N, S, E, W <br />Approved By <br />Issued By � <br />Customer Signature <br />ft. <br />�io^ /' '��� <br />���� �w�,� !N <br />a � n � �°�/�7 <br />Inspectfon By <br />Date Inspected <br />INSPECTION <br />��'� 293�5 <br />� <br />