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�rr�.-�.v. ,y-. '-- �. . . ,"•"•^,"' ...�.._....q .-��... t-_. �,..-.,^f }..-. -.-, . , r � � . f: .i__ . .._ _ "" . ..���. ,�' '7F,vi/�4=,..:--.� <br />� I CHART NO. <br />�Q POS���'-r� SEP 1 7 1997 <br />_� �., , _ -, �_, �-, � - ,;, ., <br />� � - . :� � <br />�.t r_i:.� ` c� �:s� - ,_ <br />iL: �.] , .. �a r' l 1 .� Ci � <br />�._ _ . . ,.) ..: r�. � .-I (`� <br />... .. .. �-t y� M C'�1 <br />Sewer Application an�'Permit` �n�. � <br />;��,�:� <br />I� '. Y �� L: "- If"I h- l:1 <br />_1 t_ I�.. <br />�' I :.. . . .. . .. ... �11 ' i .. .�. <br />_ •. ... . .. .. .l ..:. �♦ <br />2�?332 DATE ' '/�/9' <br />Service Address �915 9th Ave SE Utility Account No. <br />Billing Address I05 Zntercitv W <br />City, State, Zip _ �ereet wA 98204 Permit Fee $ <br />Owner Ctua �'ricksc� Connection Charge <br />Connection by _ <br />Address — <br />Phone _ <br />Legal Description: <br />« <br />� Lot <br />Block <br />Trunk <br />Lateral <br />Total Connection Charge <br />Utility Development Fee <br />Water <br />Sewer <br />Total Development Fee <br />Plat Dfountuin Vw US <br />Unplatted Description: Sewer Bond District <br />Type of Permit New Connection <br />Remarks <br />IMPORTANT! <br />CALL 1-800-424-5555 48-HUURS <br />PRIOR TO DIGGING <br />CALL 259-8810 FOR INSPECTION <br />Abutting Lot Line <br />N, S, E, W _ <br />Approved By <br />70.00 <br />� 330.00 <br />$ 395.00 <br />$ 725.00 <br />$ 224.00 <br />$ 589.00 <br />$ II13.00 <br />Issued By �'� <br />Customer Signatur� <br />s <br />Inspection By � <br />Date Inspectzd <br />SEE SKETCH ATTACHED <br />� -.' �; :. :' <br />INSPECTION <br />ft. <br />