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)�Y:��������19ir1��.'�i�i ����i'::/f. 1 � . � 11 1 : .. .H:� �r'1�..��.: :.��� � _'r.�l4�.i� • .. �. .I � � <br />- .. ICN^RTNO. <br />� <br />4 � uis8sg <br />� ����;i <br />O� M <br />Sewer Application and Pe�Jnit <br />� ������ <br />; 9° 29161 oarE o-s�-�i <br />Service Address 6831 Hav�rly Blvd <br />BfllingAddrosa 4641 Silvercip Lane <br />Gry, State, Zip ��ratt HA 98207 _ <br />Owner �k�craet Conntruceion <br />Cannection by �ar <br />Address <br />Phone 259-6005 <br />Legal Descripllon: <br />�o� 4 of Short Plet 1202-25-92 <br />Block <br />Plat <br />Unplaned Descriptian: <br />Type of Pertnit Nev connection <br />Remarks <br />IMPORTANT! <br />CALL 1•800-424-5555 48•HOURS <br />PRIQR TO DIGGING <br />CALL 259-8810 FOR INSPECTION <br />SEESKETCH ATTACHED <br />__. .____.. <br />Utlliry Accoun� No. <br />Pertnit Fee 5 <br />Connedlon Charge <br />Trunk <br />in vnSTINGL���� <br />ssss <br />�g�� <br />M <br />� <br />r <br />� <br />���-� <br />a�i$.rI3 <br />70.00 <br />Lateral <br />Total Connedbn Charpe <br />Utllity Development Fee <br />Water <br />Sewer <br />Total Developmont Fee <br />s A50.00 <br />y no.00 <br />� 720.00 _ <br />$ 179.00 <br />y a�i.00 <br />a _ 630.00 <br />Sowar Band Dlslrict Bond II <br />Abuninp Lot Llne <br />N, S, E, W R <br />Approved By <br />Issued By � <br />CustomerSignaNre �� " � � %�- . � <br />� <br />/ <br />i <br />1 � <br />InspBCMlon 8 ��� <br />� <br />Deie Inspected _ -+ <br />INSPECTION <br />;�;' 29151 <br />