Laserfiche WebLink
,t..lfteip�l .'�1a4 .!�J�-e'n':.::q`�t>;. ;,S;�i,1{.'rE'.�l�Clbir''ZP4��'�4-.r,n•,.• � ; .� r:'..,. :d.J'1 w;.N,''t�i�lT- <br /> CHART NO. -- <br /> TO POSTING-P_ z cl <br /> ssssss � s sss <br /> Sewer Application and Permit , <br /> pl J i` T iGr O x tr lu 7. <br /> 29249 DATE 5127/93 <br /> Service Address 2504 58th St SW Utility Account No. ---- <br /> Billing Address 14410 Bel-Rod Rd <br /> City, State,Zip s llevmc Wn 98007 Permit Fee $ _ _— 70.00--__ <br /> Owner ry <br /> /taw •twaud tioeoo Connection Charge <br /> Connection by r =IM ' r Trunk $ --— — <br /> Address Lateral $ — -- <br /> Total Connection Charge $ -- <br /> Phone --- Utility Development Fee <br /> Legal Description: Water $ 224.00 <br /> Lot Sewer $ <br /> Block Total Development Fee $ 224.00 <br /> Plat Fowder Mill highlands Div <br /> Unplatted Description: Sewer Bond District <br /> Abutting Lot Line <br /> N, S, E,W ft. <br /> Now connection roved B <br /> Type of Permit tion App y — <br /> Remarks — Issued By r;b <br /> Customer Signature <br /> IMPORTANTI <br /> CALL 1-800-424-5555 48-HOURS <br /> PRIOR TO DIGGING / <br /> Inspection By ) Sr /rM-Clip n <br /> CALL 259-8810 FOR INSPECTION <br /> Date Inspected Y <br /> SEE SKETCH ATTACHED <br /> INSPECTION �' `" <br />