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Aq <br /> CHART NO. --- <br /> �d <br /> �3 <br /> ,O M <br /> >yrn TO POSTING_F-ZM9) <br /> K O <br /> ItH0 <br /> y� <br /> y <br /> z HSewer Application and Permit <br /> g ?. ?,?0 .1DATE 9/9/92 - <br /> 47 V () <br /> 2602 59th St SW Utility Account No. <br /> y z Service Address Y <br /> 14410 Bel-Red fid 0200 <br /> g rn Billing Address 70,00 <br /> 8ellevuo WA 98007 <br /> City,State,Zip Permit Fee $ _ <br /> r <br /> r — <br /> y yo y Owner Countrywood Homee _ Connection Charge <br /> Connection by Trunk $ <br /> Address Lateral $ <br /> Total Connection Charge $ 0.00 <br /> Phone — Utility Development Fee <br /> 224.00 <br /> J Legal Description: Water $ <br /> Lot 18 Sewer $ <br /> 'a 1 Block Total Development Fee $ 224.0 <br /> Plat Powder Hill highlands <br /> Unplatted Description: Sewer Bond District <br /> Abutting Lot Line <br /> N, S. E.W h <br /> Type oll Permit dr connection Approved By <br /> w v Remarks Issued By ru <br /> '- Customer Signature <br /> IMPORTANTI <br /> CALL 1-800-424-5555 48-HOURS <br /> PRIOR TO DIGGING L <br /> Inspection By ��'r` C <br /> CALL 259.8810 FOR INSPECTION <br /> Date Inspected <br /> SEE SKETCH ATTACHED rI 10 <br /> INSPECTION '- <br /> 1 <br />