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� <br />. ..�..� . .:'-G:TT.} <br />�� WA7'ER DI:TRICT r ' � <br />���2210 • 13Ld St. S.E • Ewntl, WA Yl�71YY <br />(� 831•!M' • FAX (�1837•WN <br />, <br />SIDE SEWER PERAAIT 0065oi <br />7he undeR{fl�ed Owner heroby mow:Y oppliwNon fa a�ew�r connection to rew�r malns of the DlsMet; <br />for properfy desalbed as follows: <br />Lepo) Descripti�n: 1�� 1( 1�„l-. �, <br />�.L � .� � � � <br />�� l._�-�_�._ �-� l <br />U- l �.c T B <br />�dd.�: �[�f� � � lggs <br />...... �.. ......... �. �..;�...�. \........:.�..i..... :�l.l�J.._..».....��ki'! <br />:' <br />4 , �'t"i _.._- <br />...............:..:...�.�: � :.. ...,. .. ..........._.............._.._..._ <br />I � : ���-- <br />.��� � � � <br />,Cost .............. ..................... ........................................... <br />�'F �`glli <br />TM Owner he►ebY ro b� bound by ail <br />rules ond r4Du1 forca or of hen- <br />Inofter , Di�f�ld, <br />;. , , ; <br />r . • / <br />�' <br />.... �',�1 . ..... . ............................................. <br />Owrwr't Sipnatun <br />................ <br />........................_........._......................._...._.._..... <br />- Ownars Mallirq Addrau <br />................................................. ............................ <br />81111np /lddrou <br />Contractor.........................................................._......................_...Lkerae No..................�........_.....�...._.......».. <br />After Instollation, the system shall be inapeetsd by c reProsenfativa o� N+e actri�► b'•oro coveN The prOP' <br />erry owner sholl be ►esponslble for all o{xlrat_ipns, malnromnca ond npo�r of 1M sid� �ew�r. <br />- -� - `_ �� <br />� <br />Permitissued by :............_:.. ��: :�:.�..... �:::.............................................................Dnh:...`.:........%........... ........_....... <br />