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CHART NO. <br /> TO POSTING ° <br /> 5�888ft8 B8 88 <br /> 1 M M <br /> Sewer Application a Per <br /> =� � $ DATE 4/15/93 _ <br /> Service Address 2612 57th 8t 6W Utility Account No. <br /> 14410 Bel-Bad Rd Ill <br /> Billing Address <br /> City,State,Zip Bellevue WA 98u07 Permit Fee $ 70.00 <br /> Owner _— Countryrood homes Inc Connection Charge <br /> Connection by h�f P/1nt i Trunk $ <br /> Address Lateral $ <br /> Total Connection Charge $ 0.00 <br /> Phone Utility Development Fee <br /> Legal Description: Water $ 224.00 <br /> Lot 33 Sewer $ <br /> Block Total Development Fee E 224.00 <br /> Plat Pwdanill Highlands Div 2 <br /> Unplatted Description: Sewer Bond District <br /> Abutting Lot Line <br /> N,S,E,W h. <br /> Type of Permit Her connection Approved By <br /> Remarks Issued By t11L <br /> Customer Signature <br /> IMPORTANTI <br /> CALL 1-800.424.5555 48-HOURS <br /> PRIOR TO DIGGING / <br /> InapectbnBy <br /> CALL 259.0810 FOR INSPECTION <br /> I Date Inspected S,-/y'I <br /> I <br /> SEE SKETCH ATTACHED <br /> Iras111 c1lou ND 29154 <br />