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µ CHART NO. - - - -- - <br /> TO POSTING Ll , "� <br /> Sewer Applicati n anlr Permit <br /> ?. In 71 6 C. <br /> DATE 4-15-94 <br /> Service Address 263:2 58th St Su Utility Account No. <br /> Billing Address 21007 47th Dr SE <br /> City, Slate,Zip <br /> Bothell NA 98021 Permit Fee $ _ 70. )0 --� <br /> Owner LD6D Conotruction Connection Charge <br /> Connection by Owner Trunk $ <br /> Address Lateral $ <br /> -0- <br /> Total Connection Charge $ <br /> Phone _ Utility Development Fee <br /> Legal Description: Water $ 224'00 <br /> Lot 71 Powder Hill Div 2 Sewer $ <br /> Block <br /> Total Development Fee $ 224.00 <br /> Plat --- — <br /> Unplatted Description: —_ Sewer Bond District <br /> Abutting Lot Line <br /> NSEW n' <br /> Type of Permit new connection Approved By <br /> ,fll <br /> Remarks — Issued By <br /> Customer Signature <br /> IMPORTANTI <br /> CALL 1-800-424-5555 48-HOURS <br /> PRIOR TO DIGGING <br /> Inspection By <br /> CALL 259-8810 FOR INSPECTION -7y� <br /> Date Inspected <br /> SEE SKETCH ATTACHED ? 9713 <br /> INSPECTION <br />