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ALL CITY EMYLOYEES CREDIT UNION <br />DOi.CD TNCO �CCWNTMU »YufNi�uT IUT[p D�ID�if ��� ��� <br />co m <br />SHARES <br />CASH <br />LOAN <br />FINANCE CNARGE <br />GENEflALLEDGER <br />pEGEIVFD !Y• <br />DESCRIPTION <br />rr . <br />DEBIT <br />AMOUNT OF CHECK.� <br />.00 ^�• I .00�•~� I 1�352.50 I .00�[o'T I 1�352,50 I <br />-.._-�--_,_,—: ...._. �.. _-- - - - - . . _ _ <br />SIDE �SEWER PERiv11T <br />FIRCRE57' SEINER DISTRICT <br />2210 134�d St. S.E <br />[nn7t, Wa�h. 98201 <br />�37-764T <br />CRE�IT <br />z§o9`"° i 352:so <br />INl[P[ST V.TA.IMEREST <br />.00 .00 <br />N° 1675 <br />�� The undersigned Owner hereby mckes upplicotion for a sewcr connection to sewer mains of the District; <br />for property desnibed as follows: <br />Legai Description: <br />� � <br />Address: t��* � <br />• � i � `', <br />� : :: .) r..�=•.��.":.i......L..�� .................. .� <br />......1 ................... �-'' ..� <br />. . .� <br />r <br />'• . i . . ,. � r. �' uT <br />. ....�._...:....1 ............ :... :.:.................................... r <br />F � •� <br />- � O <br />- , � <br />, Cost .......�...:..�;.....:.... � ...................................i':......... <br />t r� <br />�i <br />The Owner hereby ogrces to be bound by oIl <br />rules and regulotions, now in force or as here- <br />�inafter omended, of�the wer District. <br />. � ��,L-�:(%-C: �� �l <br />�_`. �� �' � i <br /><�.1.�.�`�_� ' �..-L:':..-�;.-- .............__.---••• <br />� �..,�Owner's Signoture <br />` / <br />Owner's Moilinp Address <br />................................................................ _........... <br />Billinp Address <br />, Con ctcr ...................................................�.........y........P..........Ucenx No.....................................8.....__..P•-•� <br />� ' ---- <br />I. -^•�m sholl be ins cted b a rc resentative of the District beforc coverin . T: rep <br />"'�----.rinny malntenonce ond repair of !he dde se�ver. �! <br />'Z_ - _ `�`""`�"'�'T}..� <br />i � �.� <br />x' <br />