Laserfiche WebLink
CHART N0.—.. —_ — <br /> E'vereH <br /> e � - , <br /> i , . � _ <br /> c�cy or e�eren , _ �r <br /> � <br /> Sewer Application and Permit " ' � � <br /> _ <br /> 0 <br /> � <br /> No. 24531 DATE �pri}' 27. i9es � m <br /> 109 Basbara Lan• Utility Accour�t No. -i '� <br /> Service Address <br /> ... .1 <br /> 9011 4th Pl�a• �0.00 �^ m <br /> B�Iling Address _ Permit Fee <br /> 0 <br /> E��r�tt. Nt. Yr[I�= 9520� 110.00 i �� <br /> City, State, Zip Connection Chargels) <br /> �0.00 � � <br /> Owner (Mortgagor) �orisoa Coa�Lruatioa Total Fee — I m .i <br /> 8ozisoa Coa�tzuatioa OrASa�nc• �669-80 � `" <br /> c = <br /> Billing Name �=�a 1 121.00 y, .� <br /> rx <br /> .. <br /> Connection By K '^ <br /> � <br /> Signed � �, � <br /> A(�dfB55 Customer <br /> 15��1715 � <br /> Phone — — � x"" <br /> N <br /> DESCRIPTiON: Sewer District_ _ <br /> $Ood 1 � <br /> C N <br /> Lot �B Block 1 — Monthly Sew�'r Service �� <br /> Plat s��ryr��n Gl�n _ -i m <br /> UnplatteJ Description _ Monthly Sewer Constr. � p <br /> Trunk_ y <br /> Type Permit: N�r Coen�etioa � _ <br /> Lateral I � <br /> x <br /> .. <br /> Remarks: � � <br /> Abutting Lot Line z <br /> N S E W ft. I o <br /> — c� <br /> i <br /> m <br /> - `" i <br /> -- �. R. Th�al <br /> � <br /> APproved By_ . i <br /> Cny Enqmeer <br /> �. i�t1d <br /> Issued By — I' <br /> — � <br /> Inspection By� — <br /> Date Inspected L — <br /> SEE SKETCFi ATTACHED N�� Z4531 <br /> INSPKTION <br />