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, <br /> • CHART NO. __ _ -- ---- <br /> ��� TO POSTING_a'«-� '' <br /> � <br /> yyt~n � <br /> � �� Sewer Applicatian and Permit � <br /> H xl � � <br /> � t�i�r�i ? :? ^ " � DATE ,/:::�,�,,: <br /> o �� Service Address GbJ2 E Gn/y Rd Utiliry Account No. ' <br /> ��g Billing Address p0 Br 2266 _ i <br /> z y� 70.00 � <br /> .�., City,State, Zip ��ereet UA 98207 Permit Fee $ _ ! <br /> � Lylo E Dlank � <br /> g y H Owner Connection Charge � <br /> � �y <br /> r Conneclion by Trunk $ <br /> y '�y Address Lateral S i <br /> Total Connection Cha�ga $ � <br /> I <br /> Phone Utility Development Fee � <br /> i <br /> Legal Description: <br /> JJater $ 179.00 ; <br /> i <br /> Lot <br /> 7 Sewor $ 471.00 I i <br /> �" 650 00 I I <br /> � Block — Total Development Fee $ , <br /> Plat SP 11-92 I � <br /> (-"" "'' I (rotired) ' <br /> —� �. Unplatted Descdptlon: Sewer Bond District I <br /> Abuttinp Lot Line ! <br /> 1 j Nsew n. <br /> Type ol Permit hev counaction Approved By <br /> j( 1 cn <br /> ' Remarks Issued By , <br /> Customer Signature � �� C1�l7 G <br /> i " I � <br /> ' IMPORTANTI ' <br /> ��� 1 CALL 1-800-424-5555 48-HOURS I <br /> PRIOR TO DIGGING I <br /> Inspection By � �"!'� /"'�� � <br /> CALI.259-8810 FOR INSPECTION � �r. ,�z <br /> Data Inspected �� <br /> .•.� -- <br /> SEE SKETCH A7TACHED „ . ,{ „ .. <br /> INSPECTION <br /> I <br />