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'�C"R73� `Ta'"'aJy7�7i��.: i� 4 -3+-,^:' � �. f'-.`40.✓�.�N.�I �i�v;'.q � � :y� .. <br />�.`�g� r' ; i�� �ii`r_'i, c�`cs'u�i c� u <br />YH G O�� tl U � O� If] CJ O O'�V O O <br />.-i r.� c�i c.. re i`� -.t a� .-� c-.i ri ,� r.t �'� <br />�-� H +. � ?L [. 7 :-� rl .b 'Q <br />iw ✓. :,� :n ,t .a +.��. <br />Sewer � � lic��o� ��y� � ' � ° <br />n Perrr�it � �� <br />��c� c�„ �� � u^ 1�`-�c,3i-c �'iw � a�= i='Q <br />� O� 4 .�E v(u �_c � Y �� -+ c u�`� G C"u �c.l�. s_ 3 S <br />' � � 9 � u�� DATE 11/18/92 <br />Service Address 5717 Fleming (A6B) <br />YO Boz 2266 <br />Billing Address <br />City, State, Zip _ $veratt NA 98203 <br />Owner Lyla E Blank <br />Concectio� � by �a r �r <br />Address <br />Phone <br />Legal Description: <br />Lot _ <br />Block <br />Plat <br />Unplatted Description: <br />Type of Permit <br />Remarks _ <br />3 <br />4 <br />Beverly Hills Dv 4 <br />Naw connectien <br />IMPORTANT! <br />CALL 1-800-424-5555 48-HOURS <br />PRIOR TO DIGGING <br />CALL 259-8810 FOR INSP�CTION . <br />_ --�—_ <br />SEE SKETCH ATTACHED <br />Utility Account No. <br />.. .n i.�'.;�<;`l�'�,f-�'u:.-,,..,.y.rar--..>�.�.-.. <br />�CHART NO <br />TO POSTING s-a�-�3 _ <br />` ` 3� <br />�� <br />i o -a <br />' M L'Y <br />M <br />N <br />7��3 <br />j ;.� i <br />� �-+ U <br />Permit Fee $ <br />Connect(on Charge <br />Trunk <br />Lateral <br />Total Connect:on Charge <br />Utiiity Development Fee <br />Water <br />Sewer <br />Total Development Fee <br />70.00 <br />0.00 <br />$ 261.00 <br />$ 688.00 <br />g 949.00 <br />Sewer Bond District <br />Aburiing Lot Line <br />N, S, E, W h• <br />Approved By <br />GB <br />Issued By <br />�..: , <br />Customer Signature ��� l `� ��"lr'` �� <br />� . <br />Inspection By �F���"`"— <br />Date Inspected y-� ��s � <br />�NSPECTfON <br />' 2ii?�`� <br />