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11482 SW 115TH AVENUE i ' 11482 SW 115TH AVENUE ni Q L in r� N nD .-I i ►! 10! ! It ®jlwwxmlm Y-P Address '- " uJ 5 7K Permil'� Io. Permit charge --) c_l1 Owner �}'�-� �.�_ „ _ Connection fee — 'r P a i d by �4�� 221it z c J.�� Type of ouilding /'c4 � Date connected Service rate �� _ Inopection fee ��1s Contractor Paid by Datu Size of connection _ ;,;sos,s,nen paid /, �7Y /> SEWER PERMIT M 13848 i Un''ie.1 Sewerage Agency of dashington County C I T Y OF Ti ar.dDATE OWNER : fon Morsetti _ _ PHONE 0WNF1= 'S ADDRESS TYPE ;IF INSTALLATION: 7Z?3 ©BUILDING SEWER C]BUILD1NG F-EWER AND SIDE SEWER TYPF OF OCCUPANCY: ©NEW SINGLE FAMILY ❑ COMML:RCJAI.. ❑EXIST . (PRIOR TU 7-- 1 -70 ) ❑ MUL. T. RES. El IN()1JS,1RIA1. FIXTURE UNJ TS DWELLING UNITS . PERMIT CONDITIONS: THE APPLICANT AGREES TO COMPLY WITH ALL. RULES AND REGULATIONS OF T11E UNJFIED' SEWERAGE AGENCY . WHE,f CALLING FOR INSPECTION, PLEASE REFER TO THE PERMIT NUMBER. THIS APPLICAT 'ON EXPIRES 1N ONE-HUNDRED AND TWENTY ( 120 ) DAYS. THE AMOUNT PAID WIL.I_ BE. FORFEITED SH^ULD EXPIRATION OCCUR. FEESs PERMIT FEE E 25. 00 CONNECTION CHARGE SIDE. SEWER INSTALLATION ISSUED BY OTHER APPLICANT DATE HATim �_ _cars nF TR aur i L.. "R �E�lI^E CHARGE WILL BEGIN FOR TN13 PERMIT. SEWER PERMIT M�1 N : 1384 ADDRESS OF STRUCTURE— _l..l 1..82 SW JiSL,(1,,__Tioaa��_�sggon TAX MAP. TAX LOT SYSTEM_-fanrl r.rngk_ LOT BLOCK OF EN 11-10-77� APPROVED BY DATE ISI�UED BY DATE REMARKS.__