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j— C111(OF.EVERE YT <br /> UT'ILIT'I S <br /> Date ' 03/19/99. C2aaxige:Reae€et , <br /> Serei�e Addreas: • 903 W CAS•2NO RD <br /> Bslling N ete DARIOTIS CONSTRUCTIOICY <br /> . Address.° PO BOX'1237 <br /> Csty,.' State, ip 1�St3KILTE® -W•A J8275 • • . <br /> -•,: • • : ,• Phoni c. 425 T:43 3572 <br /> 'Legal Description; Hot . 0 •.. Addn No of Unite° <br /> Frontage <br /> WATER SERVICE_ <br /> S D:.`No 1CO51 Application No. 31594 <br /> Fixed t..Y deposits; N • <br /> Water Perent _Fees $6504CD . • <br /> Svc <br /> - . • vc.. Type CA: •Ss.zeo. 3 4 .: . S :: , . . <br /> • <br /> A wader backflow prevention and/or :consu]tat on ia.re fired - • . <br /> `re ardinq;:cross connection .control, for rrigation ..services <br /> g <br /> • <br /> • a d services 1•" o large. all Bill Bruce 257 883.3° <br /> Remarkss <br /> • <br /> PLEASE CALL 257-8862 TWO TO THREE vWEEKS PRIOR TO:WANTING WATER:: <br /> SERVICE: INSTALLED:: <br /> Permit No.. 31872.`: <br /> • Permit Type .NEW OONNECTION LID No <br /> Sewser .Perarii:t. Peso°: $ <br /> Systems Development Fees <br /> Water $41000 <br /> Sewer 69 .00 <br /> TOTAL: $1,:101°00 <br /> Bond Ill' Connection Charge . <br /> :. •T unnk $0 s 00 <br /> • La ral . 0 •. • . . •• • <br /> $"•00 <br /> TOTALv <br /> Remarks° <br /> Notif the Public Works Inspectors (2578aio) 24 hours in advance <br /> yy <br /> to sehedulean. inspectzon <br /> It 'is the:App3 cant's resaonsibilt to insure adequate;projects on • .• - <br /> ag•alns sewer backflow if the structure':•is located' its the combined <br /> sans tary�storm`> sewer system . <br /> Inspected by •�",•- <br /> Grand Total $l821 00 <br /> De ana ts``exp.. a of _work .s mat commenced within 3 60 days or: <br /> ceases r mo than 180 days. . • <br /> Py. ', ;�gapl�.cant � .o <br />