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X+flp'�RT''R'RZ !"`��t'��.a-.'"'�"""' I+L '> 'RT`L;.;!G .'-.f. ?.n l i.-`1N�n��+ .:�. ..d�., 'tn' ..,1{'.-•ry�.9�SWf��a�T� � <br /> CHART NO. — ---- <br /> x TO POSTING <br /> 0 o cv Q it <br /> � i .� •N M M M <br /> Sewer ApplicationFA" nd RQr i 0 '. <br /> ? M2 DATE 1/24/94 <br /> 2607 57t1: St SW <br /> Service Address Utility Account No. <br /> Billing Addross 14410 Bel. Red Rd f200 <br /> City, State, Zip <br /> Bellevue 98007 Permit Fee $ 70.00 d <br /> Owner Countrvwoud Womes Connection Charge <br /> Connection by ���'w Trunk $ <br /> Address Lateral $ <br /> Total Connectinn Charge $ '��' <br /> Phone Utility Development Fee <br /> Water $ 224.00 <br /> Legal Description: , <br /> Lot 42 Powdel Mill Div 2 Sewer $ --- <br /> Block <br /> Total Development Fee $ 224.00 <br /> Piet — <br /> Unplatted Description: _ _ Sewer Bond District <br /> I <br /> Abutting Lot Line l <br /> N, S, E,W ft. II <br /> Type of Permit New connection Approved By <br /> Remarks <br /> Issued By— rb <br /> Customs:Signature <br /> IMPORTANTI <br /> CALL 1-800-424.5555 48-HOURS <br /> PRIOR TO DIGGING <br /> Inspection By <br /> CALL 259-8810 FOR INSPECTION 3 - 72- <br /> Date Inspected �- <br /> SEE SKETCH ATTACHED 29582 <br /> INSPECTION <br /> I <br />