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Sewer Appl <br />�. z9a89 <br />. �,�}..f � .^4—, 1 — ��.� <br />� �. . . .il'•' � 1 <br />� <br />r� TO POSTING ��� 1 <br />a <br />� p p <br />r_ 1l��r7� y��ir.�. i� � Gti;� f;' <br />� [A 41 �O r�l .� C� -� O G 3�,� <br />`' r�� .� � M ..1 . ~ �.r ..� <br />V1 N.n .T iA A t'� <br />M � � <br />icati�n an�l..P�r�i�. <br />,� r �-'�� � ��� <br />� ������u��� ���� <br />DATE �1-1-93 <br />Service Address 118 Ab8 69TH Si SE <br />BIIIingAddress 6901 LOUER RIDc;6 RR <br />Clty, Stete, Zip EVEREIT WA 98203 <br />Owner GREG OWENS <br />Conn.;ctlon by <br />Addrass _ <br />Phone <br />Lepel Descrfptlon: <br />Lot 3 <br />Block <br />Plat <br />Unplatled Descriptlon: <br />. <br />Type of Permit NEH CONNF.CYION <br />Remarks <br />IMPORTANT! <br />CALL 1-800-424-5555 48-HOURS <br />PRIOR TO DIGGING <br />CALL 259-8810 FOR INSPECTION <br />_, .-_-- � < ..� <br />SEE SKETCH ATfACHED <br />U'Nity Account No. <br />CHART N0. <br />PermitFee $ 70.00 <br />Connectlon Charge <br />Trunk $ <br />Lateral $ <br />Total Connection Charge $ <br />Utility Development Fee <br />Water $ <br />Sewer $ <br />Total Development Fee $ <br />Sewer Bond Disirict _ <br />Abutting Lol Llne <br />N, S, E, W <br />Appraved By <br />Issued By � <br />Customer Signature — <br />NA <br />-0- <br />261.00 <br />688.00 <br />949.00 <br />n. <br />/)j��,��/ `%' � <br />Inspectlon By _L��/�`��� I <br />Date Inspected "T '�� 9� � <br />INSPECTION •° z 9 Q a 4 <br />