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�'�-�'..�i�Ma��r . `�. . _ <br /> ' . • ,... .- � ��. .y. 'y n ' __F : _._ T. .n`. _ " S " ._ _ _ r.'_ "IC"'___. _ T�. <br /> CHART NO. — ___ <br /> .4 <br /> �n ���� �'�Ir�G_�L-��6= <br /> . , <br /> ; <br /> .? - <br /> , � ,; <br /> .,! f` (�, . .. �'� � (K C f/ <br /> - I 4l W <br /> � N' •OP <br /> r�i .. .. .. . N M� <br /> Sewer Application an� Per�nit - ,- �( ,M , ' <br /> �. � ,: , � }. ,� �, <br /> 1 ( � LI C w <br /> 2 9 4 0 A DATE 'Ar3oJ93 . � ,_; - � <br /> 602 108th P1 SE <br /> Service Addresa _ Utility Account No. <br /> Bllllnp Addresa _ 16000 Nill Crlc Blvd I <br /> City, State,Zip Hill Crk WA 96012 Permft Fee $ 70.00 i <br /> Owner cro■hy �me■ t.,� Connectlon Charpe <br /> Connectlon by Trunk $ �� 330.00 <br /> Addresa _ Lateral E �� <br /> Totat Connection Charge S �� �3�'�� , i <br /> Phone Utiliry Development Fee <br /> Lepel Deacrlptic+n: Water a 179.00 <br /> Lot 4 Sewer a 471.00 _ i <br /> Block Total Development Fee a 650.00 _ <br /> SP 148-91 <br /> Plet <br /> Unplaped Deacdption: Sewer Bond Dlstrict Bond III itUnk onl� <br /> Abutting Lot Llne <br /> __ N, S, E, W fl. <br /> Type ol Permlt Nea connectlon Approved By i <br /> Remarks _ IssuedBy_ pb I <br /> Cuatomer Signature ��=" - - � ; <br /> IMPORTANTI I � <br /> CALL 1-800-424-5555 48•HOURS <br /> PRIOR TO DIGGING � - — <br /> Inspe.tlon By � <br /> CALL 259-8810 FOR INSPECTION <br /> , <br /> Date Inspected _ <br /> SEE 5KETCH ATTACHED <br /> INSPECTION ? r. d (� � <br />