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CHART NO. -_ <br /> sss85� 8 8 gt� s Tn POSTING_ 6- zt-9LI <br /> 4 <br /> M <br /> Sewer Applidat1grkja`: Permit <br /> 8dz a W <br /> 4 r 8 DATE 12/7/43 <br /> Service Address 2608 57th St SW <br /> Utility Account No. — <br /> Billing Address 14410 Lel Red Rd <br /> City, State, Zip Bellevue WA 98007 \ <br /> Permit Fee $ _ 70 00 <br /> Owner r....LLUywnn,j linmo, Connection Charge <br /> Connection by �/ �� S s <br /> Trunk $ <br /> Address Lateral $ <br /> Total Connection Charge $ <br /> Phone _ Utility Development Fee <br /> Legal Description: Water $ 14.ou <br /> Lot i. a Sewer $ <br /> Block _ _ Total Development Fee $ 2214•0f1 <br /> Plat <br /> Unplatted Description: Sewer Bond District <br /> Abutting Lot Line <br /> N, S. E. W <br /> Type of Permit figw •um e t ton <br /> Approved By <br /> Remarks Issued By __ h <br /> Customer Signature <br /> IMPORTANTI <br /> CALL 1-800-424-5555 48-HOURS <br /> PRIOR TO DIGGING <br /> Inspection By <br /> CALL 259-8810 FOR INSPECTION <br /> Date Inspected <br /> SEE SKETCH ATTACHED <br /> INSPECTION <br />