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• -�----���,- <br /> --^�;�•'.,.-�c--:;--�, -�— <br />� � :,... „ �-- - —-- — <br /> I ` — <br /> ..�.� ^�.�.Y�J�:uY"•tN'Z ,�. �tx'Fi'a`Tc1' I <br /> I CHART NO. I <br /> i.' i <br /> � , � � �,; 0 POSTE��, _8-zi - I <br /> _ - _ �, - - <br /> �, :- � <br /> _ .J _ <br /> " � �'- .� . YM �A <br /> r GJ rd <br /> Sevmer Application and Permit � � « �� <br /> /� I� � - : �. <br /> � � �J 'J �L . r 1' .. :.. .� f 1; L � �� : <br /> DATE 1/li/94 ' ! <br /> � <br /> Service A�dress <br /> t3717 lOth Dr SE �— <br /> — Utility Account No. ' <br /> Billir!3 Address 52II 91st Ave it� I <br /> � : i _ -- <br /> City, State, Zip i:vrett WA )8205 <br /> I <br /> PermitFee $ 70.00 i <br /> I OWnef C.ronin llevel <br /> Connection Charge <br /> Connection by I <br /> i — Trunk $ 330.00 i <br /> Address �_ i <br /> Lateral $ <br /> I Phone Total Connection Charge $ Z3-S,cAU .�q�� � � <br /> �L_ � <br />� Utility Dev�lopment Fee � <br /> Legal Description: <br /> Water $ 224.00 <br />� Lot 13 Ht View Div 7 _ jsg,p� <br /> Sewer $ <br /> Block <br /> Total Development Fee g 813.00 � <br /> Plat i <br /> Unplatted Description: III ! <br /> I ' Sewer Bond District � <br /> Abutting Lot Line � <br /> N, S, E, W � <br /> � Type of Permit I�ew connection � <br /> ' —. Approved By <br /> Remarks <br /> �ssued By gb ! <br /> — I <br /> Customer Signature <br /> I IMPORTANTf <br /> � CALL 1-80Q-424-5555 48-HOURS <br /> IPRIOR TO DIGG!NGi ! <br /> � CALL 259-8810 FOR INSPEiCTION Inspection ey � .(-' �_�� <br /> 7"-- <br /> Date Inspected <br /> SE� SKETCH ATTACHECI <br /> INSPECTION �!�r� , 7 <br /> I <br />