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.. ci�R�i•� —1c <br /> - <br /> CHART NO. <br /> >tTP > <br /> g I TO POSTING_j2, <br /> M � M�} � <br /> rtl M <br /> t 4 <br /> Sewer Application and+ Perm't " <br /> 90 9 DAT 2/2/93 <br /> Service Address 2611 39th St SW Utility <br /> Billing Address <br /> 14410 Bal-Red Rd 0200 Utility Account No. <br /> City, State, Zip Bmllevue NA 95007 <br /> Permit Fee $ 70.00 <br /> Owner _ COUntrywood Nomeo t,rc <br /> Connection Charge <br /> Connection by ; <br /> — Trunk $ <br /> Address <br /> Lateral $ <br /> Total Connection Charge $ 0.00 <br /> Phone <br /> Utility Development Fee <br /> Legal Description: 224.00 <br /> Water $ <br /> Lot 9 <br /> Sewer $ <br /> Block <br /> Total Development Fee $ _ 224.00 <br /> Plat P"rwr UU I gW ,i■ <br /> Unplatted Description: <br /> - Sewer Bond District <br /> Abutting Lot Line <br /> Type of Permit New connection 8' <br /> Approved By <br /> Remarks <br /> Issued By <br /> Customer Signature <br /> IMPORTANTI <br /> CALL 1-800-424-5555 48-HOURS i <br /> PRIOR TO DIGGING <br /> I <br /> CALL 259-8810 FOR INSPECTION Inspection By �r � ••— <br /> Date Inspected <br /> SEE SKETCH ATTACHED <br /> INSPECTION Z 9 5 9 <br />