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i� <br /> .. .'.� ' . r pi.:.yr..'., ...,�.. ,. .r.'4Wa ",'���:.�. .1 _ sa�.:.i;;:� t� . . . r ' <br /> CHART N0. <br /> ,, <br /> �I <br /> TO POSUNG �-s-a� <br /> Sewer Application �nd Permit <br /> ,= ?902� DATE 1/11/9s <br /> 11425 19th Ava SE (Bdg D) <br /> $ervice Address Utility Rccount No. <br /> 8505 NS Sothell Wy <br /> Billing Address <br /> Ciry,State,Zip �th�ll tiA 9fi011 permit Fee $ 70.00 <br /> Owner poa Abbote Connection Charge <br /> Connection by Trunk $ <br /> Address — — Lateral ���t$�9; ;;;�,�FM Ol10RM�li'74 E'kkk <br /> Total Connection Charge $/ <br /> tY000�D1'1 <br /> Phone Utility Development Fee SEWER 970.00 <br /> E�ND I I I 5705.:k <br /> Legal Dexription: Water 11'�J5-91�.(19 <br /> �e <br /> �� Sewer �0�� 18 <br /> • g�� Total Development Fee SE��j 4 � <br /> Plat 4f00U29D20 <br /> se�r z��.o0 <br /> Unplatted DescrfpUon: Sewer Bond District unro'^wl'� <br /> I , SEWEft ;70.d0 <br /> Abutting Lot Line CNEf,t; F191b3.32 <br /> N, S, E,W � <br /> Type of Permit �� r,onnnetion ppproved By <br /> Remarlcs Issued By -� � � � <br /> F- <br /> .---- <br /> Customer Signature�.��-�� �e <br /> IMPORTANT! <br /> CALL 1-800-424-5555 48-HOURS ' <br /> PRIOR TO DIGGING �� � <br /> Inspection B � � <br /> CALL 259-8810 FOR INSPECTION �2/�� <br /> Da?e Inspocted l—.� <br /> SEE SKETCH ATTACHED ,�, 2 g� �� � <br /> INSPECTION • <br />