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. I�RA3�eiq�lgy�lk"�R�yJi�R'Afc+'�*lwws <br />I± <br />T � M <br />Sewer A licati' n d! ��' �t <br />pp an <br />10 R <br />2 9 415 DATE 9-17-93 <br />ServiG'. AddreS$ 114 filet St SW <br />Billing Address 20341 NE 150th <br />City, Sate, Zip _ Woodinville WA 98072 <br />Ownei __ JerrZ 1 cke <br />Connection by �r /�'T S <br />Address <br />Phone 883-0082 <br />Legal Description: <br />Lot 3 of 1202-35-90 <br />Block <br />Plat <br />Unplatted Description: <br />Type of Permit <br />Remarks <br />nev connection <br />IMPORTANTI <br />CALL 1-800-424-5555 48-HOURS <br />PRIOR TO DIGGING <br />CALL 259-8810 FOR INSPECTION <br />SEE SKETCH ATTACHED <br />:� F..V1 zk.� w V s}w i4� R Pit: <br />CHART NO. _ <br />TO POSTING_ <br />Utility Account No. <br />-- _ <br />Permit Fee $ "•'t' <br />Connection Charge <br />Trunk <br />$ <br />Lateral <br />$ _ <br />Total Connection Charge <br />$ <br />-0- <br />Utility Development Fee <br />Water <br />$ <br />179.00 <br />Sewer <br />$ <br />471.00 <br />'Total Development Fee <br />$ <br />650.00 <br />Sewer Bond District N <br />Abutting Lot Line <br />N. S. E. W _ <br />Approved By _ <br />Issued By Kit <br />Customer Signature •-4 <br />Inspection By <br />Date Inspected -'r3 <br />INSPECTION <br />29415 <br />