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CHART NO. _ <br /> AQ47r <br /> TO POSTIMIG <br /> SSSSSSP48 SP <br /> raMo � F <br /> _ � <br /> [[[C. <br /> .r <br /> Sewer Application and Permit <br /> ?. 966 <br /> DATE 2-25-94 <br /> Service Address _ 2625 57th St SW <br /> Utility Account No. <br /> Billir,q Address 14410 8e1 Red Rd <br /> City, State, Zip Bellevue WA 98007 Permit Fee $ _ 70.00 <br /> Owner _ Countrywood Romeo <br /> II Connection Charge <br /> d <br /> Connection by m' ' Ge Trunk $ <br /> Address Lateral $ <br /> Total Connection Charge $ <br /> Phone 644-2323 Utility Development Fee <br /> Legal Description: Water $ 224.00 <br /> Lot 40 Powder Mill Div 2 Sewer $ _ <br /> BlockTotal Development Fee $ 224.00 <br /> Plat <br /> Unplatted Description: Sewer Bond District <br /> Abutting Lot Line <br /> N. S, E, W ft. <br /> Type of Permit new connection Approved By <br /> Remarks Issued By <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 _ rJ�bP/Ari <br /> Date Inspected <br /> SEE SKETCH ATTACHED <br /> INSI'l CIION 29655 <br />