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'qtr^' „"'^Tr7�T^'+ •+u( /,�n.w�,}I'�.�L•�r� �3t+.R4!r .ae14�+'aM�.y..�n;..:!»n..,.j:,, ..�4�," k .. ._. _ ���+hy..•y�.Ty�' <br /> CHART NO. <br /> A 96� <br /> TO POSTING-L I-e <br /> M <br /> Sewer Application ani, Pert <br /> Vito <br /> 29153 4/1 M <br /> DATE <br /> Service Address 2620 513th St Su <br /> Utility Account No. <br /> Billing Address 14410 Bel Red Rd 1200 <br /> City, State,Zip Ballowe WA v tnrn Permit Fee $ 70.00 <br /> Owner i �romoa Connection Charge <br /> Connection by Trunk $ <br /> Address Lateral $ <br /> Total Connection Charge $ 0.00 <br /> Phone Utility Development Fee <br /> Legal Description: Water $ 224.00 <br /> Lot 17 <br /> Sewer $ <br /> Block <br /> Total Development Fee $ 224 nn <br /> Plat Powdermill IlIghlande Div II <br /> Unplatted Description: Sewer Bond District <br /> Abutting Lot Line <br /> N, S. E, W ft <br /> Type of Permit NOW connection <br /> Approved By <br /> Remarks Issued By Hb <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 f-` ' S 3 <br /> SEE SKETCH ATTACHED <br /> INSPECTION 2 Q 15 z <br />