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CHART NO. <br /> TO PASTING_ <br /> assess s sss <br /> -, r9C; - Q <br /> Sewer Application nd Permit M <br /> 29237 DAE 5-19-93 <br /> Service Address' 2529 30:h St SW Utility Account No. <br /> Billing Address 14410 Del-Red Rd 0200 <br /> City, Stete, Zip Dallewe WA 98007 Permit Fee $ 70.00 <br /> Owner ___Country_wood Homes _ Connection Chargr <br /> Connection by _t t'^•e n Trunk $ <br /> Address _ Lateral $ <br /> -- -.- Total Connection Charge $ -o- <br /> Phone 644-2333 Utility Development Fee <br /> Legal Description: Water $ 224.00 <br /> i <br /> Lot 22 of Powder Vill Highlands 11 Sewer $ -- <br /> Block Total Development Fee $ 224.00 <br /> M Plat <br /> Unpiatted Description: Sewer Bond District <br /> Abutting Lot Line <br /> N, S, E. W ft. <br /> Type of Permit now 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. <br /> Date Inspected -.;t f�3 <br /> SEE SKETCH ATTACHED <br /> } INSPECTION 29237 <br /> t <br /> r <br /> f <br /> w <br />