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,w -- <br /> .cF^.-+-:nvR_0 •0. <br /> r .r �F ,ifi.�i %• .' rrl " , a �rn�Thl� .4rc.�:---- - - <br /> CHART NO. ------ <br /> TO PP —,._...,, rF_zL:2� _._ <br /> 888848 g 884 <br /> Sewer Application and Permit. <br /> 2 9 ' U I DATE 9/2/93 <br /> Service Address 2521 57th St SW Utility Account No. <br /> r <br /> 14410 Bel-Rud Rd #200 <br /> Billing Address <br /> City, State, Zip Bellevue WA 98007 Permit Fee $ <br /> Owner Countrywood HOW04 Connection Charge <br /> .� T - <br /> � Connection by _ —� Trunk $ <br /> Address <br /> Lateral $ <br /> _ <br /> Total Connection Charge $ -0 <br /> Phone Utility Development Fee <br /> $ :.24.00 <br /> Legal Description: Water <br /> Lot 46 Sewer $ <br /> Block <br /> Total Development Fee $ _ 224,004 <br /> I Plat 1`,,Aaj 11 ujitijands Lily 7 <br /> Unplatted Description: _ Sower Bond District <br /> Abutting Lot Line <br /> N,S, E,W <br /> Type o1 Permit New connection Approved By <br /> Bb <br /> Remarks issued By <br /> Customer Signature t/ <br /> IMPORTANTI <br /> CALL 1-800-424-5555 48-HOURS <br /> PRIOR TO DIGGING <br /> Inspection By <br /> CALL 259-8810 FOR INSPECTION Date Inspected <br /> SEE SKETCH ATTACHED 29403 <br /> INSPECTION - <br />