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'y�V'Tl�''��� •iaf-r-T-__ _:[�.1�-. �� .K.�-'�'.-�.. , +`•.._pF�;�RYT.'.�- y s'y„—:.� "�F:.'_ ... . : ,�, . ... . , — <br /> .. . . . . .:." ,,:... .. �I <br /> - CHART NO. <br /> r <br /> ,.s <br /> 7t <br /> r T(1 PnSTING �-� <br /> �-, �.: �, � � � �, . <br /> r_ � �� t^ c� c � <br /> � <br /> r �� O:� O O r :_i �. <br /> [- C ' :� <br /> 9 h �rs i�r ,� e'� <br /> I'� W Oi <br /> Sewer Ap�lic:atior� �� :�e�,m�t: � � " <br /> t'�J � W � Y+ L 4' li W O W �1 4: � <br /> t�.� � :3: ,L'�� f� r_� 3r 3 � ^� i i � �: . <br /> � f,j t�� �y �_' �yl t� � O W " W J <br /> . .J� I � f. :s fj5 �, . :.. . �r. VI :T C�l z= ['� '_ <br /> ' � DAT� 1/11/93 <br /> Service Address _ I1425 a 9th Ave SE (Bldg A) Utiliry Account No. <br /> BillingAddress 8505 N:S Botheli Wy <br /> City, State, Zip Bothel:! WA 98oi1 Permit Fee $ 7�'�� <br /> Owner n+.+ �*�n^r Connection Charge <br /> Connection by Trunk $ 705.32 <br /> Address Lateral $ <br /> Total Connection Charge $ �a5.32 <br /> Phone Utility Development Fee <br /> Legal Description: Water $ 4 982.00 <br /> Lot Sewer �g13,126.00 <br /> , Block Total Development Fee $18.108.00 <br /> Pfat <br /> III IUnplatted Descriptlon: Sewer Bond District <br /> _ � � <br /> Abutting Lot Line I <br /> N, S, E,W tt• i <br /> Nev connection GB •f <br /> Type of Permit Approved 8y <br /> Remarks Issued By -�• , �� <br /> J � (,, <br /> Customer Signature � �-?"'' � � '�'`�-,3 <br /> � <br /> IMPORTANT! <br /> CALL 1-800-424-5555 48-HOURS <br /> PRIOR TO DIGGING � / <br /> CALL 259-8810 FOR INSPECTION Inspection By <br /> Date Inspected <br /> SEE SKETCH ATTACHED <br /> INSPECTION � � ��� S 3 I <br /> — -------- —� <br />