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r <br /> y <br /> CHART NO. <br /> TO POSTING <br /> Y <br /> Severer Application and Permit <br /> � 1 7 DATE 4-16-93 <br /> Service Address 152P 57th St BY Utility Account No. <br /> Billing Address 14410 6,•1 Red Rd Suite 200 <br /> City,Slate,Zip WA 95007 Permit Fee $ _ 70.00 <br /> Owner Cmuitryvnod lime, _ Connection Charge <br /> Connection by Owner Ilzi,4r•r i t Trunk $ <br /> Address I eta,at $- <br /> - Total Connect on Charge $__— <br /> Phone 644-2723 _ _ Utility Developmert Fee <br /> Legal Description: Water $ 1:'4,00 <br /> i <br /> Lot 30 of Powder H111 Highlands Sewer $ <br /> Block Total Levelopment Fee $ ==4.00 <br /> Plat <br /> Urplatted Description: Sewer Bor.d District — <br /> Abutting Lot Una <br /> N,S.E,W h. <br /> Type of Permit Now connection Approved By <br /> Remarks _ lesued d ytt <br /> IMPORTANTI <br /> CALL 1-800.424.5555 48-HOURS <br /> PRIOR TO DIGGING <br /> Insperdlon Dy... �c-^� <br /> CALL 259.8810 FOR INSPECTION <br /> Date Inspti, -/3 ' S3 <br /> SEE SKETCH ATTACHED <br /> INSPECTION i!" 29157 <br />