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M <br /> CHARTNO. — -- <br /> °° TO POSTING , -7�1--- <br /> asses sass TO PPC-,." <br /> Sewer Applicati an M t <br /> 9 <br /> Dare <br /> Service Address 2✓ /3 S� w Utility r.=unt No. <br /> Billing Address 14410 111 ND <br /> City,State,Zip PRT!-.u9 WA 95007 Permit Fee $ 70.0(1 <br /> Owner COUNTRYWW/OOD HONES Connection Charge <br /> Connection by ;-,-1, '5 Trunk S <br /> Address Lateral $-- . <br /> -0- <br /> Total Connection Charge S <br /> Plane Utility Development Fee <br /> Legal Description: Water S 224.00 <br /> Lot 4/7 Sewer S <br /> Bock Total Development Fee $ 224'00 <br /> Plat POWDERNILL HIGHLAND DIV 2 <br /> Unplaned Description: Sewer Bond District <br /> Abutting Wt Line <br /> N.S.E,W R <br /> Type of Permit NEW CONNECTION Approved By <br /> Remark Issued ByCustomerSignature <br /> IMPORTANTI <br /> CALL 1-800-424-5555 48-1IOURS <br /> PRIOR TO DIGGING <br /> CALL 259.8810 FOR INSPECTION Inspection <br /> Date Inspected _ 6•- t i <br /> SEE SKETCH ATTACHED <br /> INSPECTION 0 <br />