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' _ .Y_ ",_`—sr.'.�r_,"—"T-I_-. "_'�_—z-�-T__—_—Tac-_:r—. <br /> :�r�v++tSiKC�R'r_rT�i' ����2w."iG -R.-IIr+,P� .�.c__' .. . . <br /> CHART N0. ---- <br /> Tn PncT�rd� _ �o-Zl-�i <br /> i Sewer Application and Permit <br /> ?�.'. 1 i! DATE y/�/93 <br /> Service Address 70U3 ISch it Utiliry Account No. . <br /> PO Eox 226G <br /> Billing Address �. <br /> Ciry,State,Zip _ "�crotc wA 98203 permit Fee $ �� �� � <br /> Lylu binnk � <br /> Owner Connection Charge i <br /> Conneclion by .— Trunk $ '� <br /> Ad�ress Lateral $ �, <br /> Total Connection Charge $ � <br /> Phone Uliliry Developmant Fee <br /> Legal Description: Water $ I <br /> Lat Sewer $ . <br /> Block Total Oevelopment Fee $ �� <br /> �lat <br /> Unplatted Description: _ Sewer Bond District � <br /> Abutting Lot Line I <br /> N,S,E,W n• I <br /> Type ot Permit /+ltnrucion Approved 9y I, <br /> Femada _ Issued By "� <br /> _ Customer Signature,�� �_• - � � � ; <br /> � <br /> IMPORTANT! <br /> CALL 1-800•424-5555 48-HOURS <br /> PRIOfl TO DIGGING <br /> Inspection By ��'n�•^^ � <br /> CALL 259-8810 FOR INSPECTION <br /> Dale Inspected �`�'S� � <br /> SEE SKETCH ATTACHED I, <br /> INSPECTION � �=` n � ;•, . <br /> i <br />