Laserfiche WebLink
:a..;rr.�.�,v-.�,�-.,��rv�.--�:-- -.: -_ ,,,: <br />�. , _. <br />, �-.� ,.—, - - <br />{ � ro PosrrNc_ ' �-- 7 -� <br />1 <br />� <br />4 <br />, `?T'�3;a4;g!S �y Q��: <br />� �� � o �� - <br />�. il c�.: ,: S; '.d ' � ' <br />y' M � . �. i • ... <br />M <br />Sewer Applicati' n ar�,d :��`,tnit` <br />4 :�'r:� u`k��::: #��F.�����.4i�: �,': <br />% g i 8 i �' ri/30t93 <br />DATE _ <br />Servlce Address Z617 101�t 8t BE <br />BIIIing Addreea 10711 Lro�rtt��u 47y <br />Clty, State, Zip �ws�tt WA 98204 <br />Owrer i � +. n..�te.�a <br />Connectlon by <br />��ldrees <br />Phone _ <br />Lepal L�eecriptlon: <br />L.Gt <br />Blodc <br />Hi��ahov�r U <br />Plat _ <br />Unplutted Deecriptlor: <br />TypB OI P8�f1111 Mw� cenn�etlne <br />Remerks <br />IMPORTANT! <br />CALL 1�800-424-5555 48-HOURS <br />PRIOR TA DIGGING <br />CALL 259-6810 FOR INSPECT1aN <br />SEE SKETCH ATTACHED <br />Utllity Account No. <br />CHART N0. <br />PermttFee a 70.07 <br />Connoctlon Charpe <br />Trunk S -- <br />�►e�a� a - -- <br />Totel Connection Cherpe s_ 0.00 __ <br />Ulility Development Fee <br />Water S 179.00 _. <br />Sewer E 471.00 _ <br />Totel Development Fee s 650.00 _ <br />Sewer Bond Diatrlct -- — <br />Abuttinp Lot Line <br />N� g� E� yy ft. <br />Approved By — <br />laeued By � b — <br />.�� <br />Cuatomer Slgneture� •'! — <br />Inepection B� <br />Date Inapected . <br />INSPECTION �'_ Z 9 � B � <br />