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�,. .J y4'�61�1'�ti�'a1R�Awe'rrrr'-, �,...-.r,•.......-_--� <br /> IC'AART NO. <br /> v, <br /> TO POSTING Co - ` <br /> _ M <br /> Sewer Applicato and Q0 <br /> 111 29590 -DATE 1/25/94 <br /> 2531 57th &t 6U <br /> Service Address Utility Account No. _ <br /> 14410 Del—Red 0200 <br /> Billing Address <br /> City, Slate, Zi Bellevue 98007 70.00 <br /> Y P Permit Fee $ _ _ i <br /> Owner Countrywood Domes Connection Charge <br /> Connection by I ti d, fo Trunk <br /> Address Lateral $ <br /> Total Connection Charge $ -0- <br /> Phone Utility Development Fee <br /> Legal Description: Water $ 224.00 <br /> Lot 44 Powder N411 Div 2 Sewer $ <br /> , <br /> Block Total Development Fee $ 224.00 <br /> Plat <br /> Unplatted Description: _ Sewer Bond District ULID 0200 <br /> Abutting Lot Line j <br /> N. S. E, W ft. <br /> Type of Permit Nowoennection Approved By <br /> Remarks Issued By gh <br /> Customer Signature <br /> IMPORTANTI <br /> CALL 1-800-424-5555 48-HOURS <br /> PRIOR TO DIGGING <br /> CALL 259-8810 FOR INSPECTION Inspection By l'�c, Z(' /Mn n <br /> Date Inspected 3 --V' 9r <br /> SEE SKETCH ATTACHED <br /> INSPECTION 2 tJ 5 9 <br />