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SIDE SEWER PERMIT <br />FIRCREST SEWER DISTRICT <br />2210 132ed $. f.I. <br />ErereM, Wa�. 96204 <br />337-3697 <br />N° 1506 <br />�The undersigned Owner hereby makes application for a sewer connection to sewer mains of the District; <br />-''for property described as follows: <br />Legal Descriprion: �. ,The Owner hereby agrees to be bound by oll <br />'`A c i� rules and regulations, now in force or as here- <br />r,� , '�+ U - inafter amended, of the Sewer District. <br />��, <br />• ,... � ._� ,' : <br />� r � 1. <br />, - %;,. . , r_,i ' i :, f�. '�. s i � � ' � i � :- <br />, r,�... �, <br />s^i� �„ ,� ..... -s�--•-••-•---.....--•• --••:�. ....... r ......_.... <br />. <br />Address: � Owner's Siynature <br />i � r. .t:, � .` �. .:; J <br />� <br />,�, . : <br />...:.<.. '.c.. :....,�-�--�----•• v ��`•-x=-^-�----� -----•=-•-•---••------•--...., <br />, ..................•--�--•--••------..........---......_......_...--•_-••-••- <br />-, <br />,1 <br />Assess men t..No.._...... <br />..t , ''v�.._ <br />Owner's Moiling Address <br />Bllling Address <br />Cuntractor_..-----•-- ...........................................................................License No..................._---..................---••••_•...... <br />After installation, the system shall be inspected by a representative of the District before coverirp. The prop- <br />erty owner shall be responsible for all oparations, maintenance and repair of the sid@"sewer. <br />/"', — -, c, <br />Permitissued by:-••--•--------------------------------------..................__...----...---...................---Dotr,:!_..:�:f .-;�:.:...:�...'. ✓......__... <br />i <br />