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ry�:-�.�.�",+.�;:r.�y.�.a�:'r:�'�.,z� _ .--;..--, --.._ <br /> � . ,M l..,g'vt..'�.r� '4i�,�Tr,n�.. � .�s�� -_f .T_"" <br /> . . „h'��.:�`Tr . . J G:!',cwm-.m.—...-,'.,.�r.-�r-, o - ... „ <br /> CHART NO. � <br /> , �, <br /> i <br /> � <br /> � <br /> � <br /> TO POSTING_ �-s_ �, � <br /> Sewer Application and Permit <br /> , ; :. " 9021 DATE i/11/93 , <br /> � Service Address 11425 19th Ave SE (Rec Bidg) <br /> : Utiliry Account No. -� <br /> Bf�ling Address 8505 NE Dothall Wy ��'� <br /> I ,, <br /> � City, State, Zfp �thall WA 98011 <br /> j Permit Fee $ 70.00 <br /> Owner pon Abbott <br /> . i . Connection Charge <br /> ' Connectfon by <br /> � Trunk $ <br /> � ' Address <br /> i . Lateral $ <br /> Total Connection Charge $ <br /> � Phone Utility Development Fee p^�a��q_{ -i,, <br /> , Legal Description: � <br /> fzF�n rn�aa�st�a x.�.x:t i <br /> Water NC�0�2�11:-7 <br /> Lot SEW�R �70.00 <br /> ' Sewer <br /> Block END ,,..,: <br /> , � Total Development Fee 11?�5 ilE1,p8,Op <br /> �� ' Plat NDOt7� i <br /> ! � SEW[R 570.00 <br /> Unplahed Description: N[�00�"40i9 <br /> � Sewer Bond DlsMct -- �F�� Ii•Tn nn <br /> ' � i <br /> - Abuttfng Lot Lfne ����5020 i <br /> � <br /> �EWff'i �n70.0� <br /> � IV� S. E.W yth�0?40�'1 , <br /> ft. <br /> Type of Permft Nr+ connaction CfIECI; �19163.'2 <br /> Approved By <br /> i RemBrks Issued By rn I <br /> i <br /> _� / <br /> ICustomer Signature ' � � � � ( ��� _'��� <br /> i <br /> IMPORTANT! � <br /> i CALL 1-800-424-5s55 48-HOURS -,: <br /> PRIOR TO DIGGING <br /> ' CALL 259-881a FOR INSPECTION �nspection sy <br /> i <br /> i Da?e Inspected ' L P' <br /> I <br /> � SEE SKETCH ATTACHED <br /> INSPECTION '�� � �;�� �^ ? <br /> I <br />