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CHART NO. <br />y'� {0 POSTING�—��/T <br />� <br />� i"� i7, �' �y '.. }j S:: ti. !-? �G? I� <br />V� <br />y, c',; [' c r_. y c� :n r' ,:� u� I <br />L [- - .F : � � �- i y' <br />:�l M !• � � M �� �� Jl <br />r <br />n ' 1 <br />Sewer Applicatio�� � nd_ R��. � �, M <br />,� �v��� „��i� �=�= <br />� a r�.. �' '� � '�' . . <br />. n,o 7 :�, <br />. 2 9 2 L 9 DATE 6-9-9) _ <br />ServlceAddress �516 101et St SL <br />Bllling Address p0 80: 1356 <br />Cily, Stffie, Zip Snohoesi�h WA 9A291 <br />��� C�1 Bright _ <br />COnneCllOn by oW++ar __.� <br />Addreas <br />Phone �85-1719 <br />Lepel Deecriptlon: <br />�� 26 of Eie�nhov�r Court <br />BbCk <br />Plat _ <br />Unpletled Deecrlptlon: <br />Type of Permlt n�r conn�ction <br />Remarke <br />IMPORTA�ITI <br />CALL 1-N00-424-5555 48•HOURS <br />PRIOti TC► DIGGING <br />CALL 259-6810 FOR INSPECTION <br />SEE SKETCH ATTACHED <br />Utility Account No. <br />Permit Fee S 70.00 <br />Connectlon Cherpe <br />Trunk S ---• <br />Laterel S <br />Totel :.onner,tbn Cherpe E -� <br />Utllity Develupn�ent Fee <br />Weter $ 179.00 <br />5ewer a 471.00 <br />Total Qevelopment Fee $ 650.00 <br />Rqwer Bond Dielrla <br />Abuttinp Lot Une <br />N,S���W - ft. <br />Approved By -- <br />MH <br />�88U9d By ' � <br />CustomerSlpnature—. r— <br />� <br />, �/1��� <br />.: �: <br />INSPECT�ON <br />^ 2926� <br />