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. . . ._, ____ _ _ . ,-'--,� <br /> _.. . -- --�------ <br /> _. ___ . . .. , . . <br /> - - - - - - - - .. . . . . <br /> , --- - _ _-- - - -- - . , <br /> i CHAHT Nn. ___ I <br /> , i <br /> I <br /> I i <br /> ' TO POSTING 12"Ld-9 �I <br /> �! �i <br /> , , <br /> � , , <br /> � Sewer Application and Permit � <br /> ; <br /> , <br /> � ^ �50r� DATE ii/�/9� i'� <br /> � 612 loRch rl SE <br /> Service Address Uliiity Account No. <br /> % I14 174th St FW <br /> � Billing Address — I <br /> I fothell WA 9801Z ��•�� � <br /> I City, Stete,Zip . Permit Fee $ � <br /> � Owner �1 Ryesel Construction Inc Connectfon Cherge � <br /> �� Connectlon by Trunk $ � <br /> � <br /> Address Lateral $ i <br /> 0 <br /> ITotal Connection Charge S <br /> I Phone Utility Development Fee ' <br /> Legal Deacrlption: Water $ 224.00 <br /> ' 2 S.P. C48-91 Sewer $ 589.00 � <br /> Lot IBlock 7otal Development Fee a A13.o0 <br /> Plat '' <br /> �! Unplatted Descriptlon: Sewer Bond Disidct <br /> I <br /> i <br /> � _ Abutlir.g Lat Line <br /> � N S E W n i <br /> i Type o� Permll ���w Con�uction Approved By I <br /> Remarks Issued By ub i, <br /> Cusromer SlgnaWre � <br /> I, IMPORTANTI I' <br /> � <br /> ��, CALL 1-800-424-5.555 48-HOURS <br /> � PRIOR TO DIGGING / j <br /> Inspecllon By � <br />' � CALL 258•5810 FOR INSPECTlON � � .� <br /> Date Inspected �� <br /> �I <br />' SEE SKETCH ATTACHED 2 � � �, n i <br /> INSPECTION - <br />