7925 SW BONITA ROAD V
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7925 SW BONITA ROAD
'-� �INEB PERMIT
Unified Sewerage Agency V
of Washington Countv CITY OF DA1 t g
OWNER : `
OWNER 'S ADDRESS: ,� 7� B Kr
TYPE OF INSTALLATION:
T
�L11 SIDE SEWER ❑ LINE TAP AND SIDE SEWER ❑ LINC TAP
TYPE OF OCCUPANCY:
[_] NEW ❑ EXISTING SINGLE FAMILY ❑ COMMERCIAL
EXIST. (PRIOR TO 7-1-70 ) ❑ MOLT. RES. ❑ INUUSTRIAL
FIXTURE UNITS DWEL.LING UNITS
ADDRESS OF STRUCTURE : A 60t7 r,
Permit Condi+.ions' Tha applicant agrees to comply with all rules and regulations of the Unified Sewerage Agenc%f.
When calling for inspection, please refer to the Permit Number. The Application expires In one hundred twenty (120)
days. The amount paid will be forfeited should expiration occur.
The Agency does not guarantee the accuracy of the location of side sewer laterals. If the sewer is not located at
the m-asurement given, the installer shall prospect three feet In all directions from the distance and depth given.
If not so located, the Installer shall purchase a 'Tap and Side Sewer' Permit at the currount charge and th^ Agency
will jstll a lateral at the location specified by the installer.
F7
3s: e
�Il EF2MIT FEF E _—
��,, CONNECTION CHARGE 2 e. a
LINE TAP INSTALLATION
OTHER --- ISS ED—BY--
TOTAL
OBYTOTAL_ 3 33'-
APPLICANT DATE
SEDER PERMIT
ADDRESS OF STRUCTURE -3� Sou 14ofk 4
"4 ---
TAX MAP t% i izA TAX LOT SYSTEM �MNQ
LOT _ 9LbCK OF
APPROVED BY� DATE ISSUED BY M DATE
D. U . 'S R E NA R KS y�%rPr4f .Pop e. P k 0-941 tj�,e