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���Il� 1WIATER DIiTRICT '� , _, <br />���' Y210 • 182nd St. S.E • EwrNt, WA YE20671YY <br />��'✓ (Z06) 381•i611 • FAI( ('LO6) 397•NYY � <br />_{`�, <br />SIDE SEWER PERMIT 006500 <br />�' The undersigned Owr�er hemby mokes oppticotion far o �ewer connectto� ro uwer moins of tF+s Di�trkt; <br />for property deacrihed os followt: <br />Lepol DescNption: j', �, , �,' (_ ` `__ The Ownar fierob ro bs bound bY oll <br />I( / nila ond rbpu�dh or os hen- <br />�r � ' _ l- � l 4 ' � -?� \�` �,l �'J l �_(. i inafter amGnjied„ ,/ r Dictriet. <br />. ;;, f��', � <br />Address: ; ` 'Z" OwrNrs Slyrutura <br />....... /_ . ............i..�... �.......`.........��..`.... » .�.. ` � ...._...............................................................�.. <br />.... .... -- <br />g ti i v... <br />...............:.............�....:.�..-:!::..i:` :..................._......... 9 �5-.............�rs��ivioiiii;o.��........_....._ <br />tnst t 1 ��.% J.".._...� �� NA1Et.OlS1 ..........................................................»......»... <br />y�� ..................... ............_................................ <br />A <br />........................_........................................_.»...... <br />BIIIinp Addrcu <br />Contractor....................................•••..................._......................»...Ucent� No...................................._.......__.._...... <br />After installation, the system chall be Inspncted b�l o reprosantative of the Dlstrict baforo coverinp. Tha pmp� <br />erty 7Nner shoil be res;,onsible fcr ull n�r-�lor+R, ��nintawnce ond repair of the �ide �ew+r. <br />Permit itsued by:.... `.�.�..�,�....i...:...�..�.:�........_ ...............................................Dote:..��».....C�.....(��....... <br />..�.� <br />