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� � <br />H <br />a � <br />��� <br />��� <br />y <br />xp <br />H <br />Oi-H+C <br />��g <br />�y � <br />�M <br />H <br />H <br />g �' <br />ot,�� <br />��y� <br />6 m <br />a <br />- .�--T------- —. , .-; -�-.--�—.. _ _ <br />Sewer Appl <br />..' ?_396n <br />-- �.. ,. , -.--,-- _ <br />�CHART NO. <br />� <br />� <br />� p p p p O pC- <br />:C �i Ci �] G: Lt ft C u C� l�' Q::] G� ' <br />''o �or:ioci io 0 00. r�ioo� <br />r^ ca.�cic�i%Trd .i �'—,�ac�- <br />y] .-� ,-� .A .w , 'n � �yt .-: W <br />O W�h K iP. sp �A .* +A <br />i�L�a�on �([,�.,c�c�r� ,�rr�it <br />o O V��� rl'i tl44JCp?Ur` G4`.�.'G.} ��u <br />. OJJ 1�3C JG� C14:.-++_ .� J,4J <br />t.3; 0..Y_ 60'. u.: x�r.nl,-�:� u: [` Tw <br />, DATE 11/18/92 <br />Service Address 5719 Fleming (A6B) <br />Billing Address p0 Box 2266 <br />City, State, Zip �'�arett S7A 98203 _ <br />Owner Lyle E Hlank <br />Connection by � n'1 u <br />Address <br />Phone <br />LeQal Description: <br />Lot Z <br />Block � <br />Plat _ FSo�osl� �+iils niv d <br />Unplatted Descriptfon: <br />Type of Permit Ne:+ connec[lon <br />Remarks <br />IMPORTANTI <br />CALL 1-800-424-5555 48-HOURS <br />PRIOR TO DIGGING <br />CALL 259-8810 FOR INSPECTION <br />� � _. , �:. , :� <br />SEE SKETCH ATTACHED <br />Utility Account No. <br />Permit Fee $ <br />Connection Charge <br />TO P�15T�Nf. 5'�-�-y� <br />i Ci v p�in <br />�u � �w� <br />�n c- m rn .r <br />M1 O `'1 <br />� A . <br />S'- O R d[ tr' N�• <br />� sl �� W O�i W�[.�J <br />]C. CJ�O(i11.ti- ` <br />Trunk <br />Lsteral <br />Total Connection Charge <br />Utiiity Devalopment Fee <br />Water <br />Sewer <br />Total Development Fee <br />$ <br />$ <br />$ <br />70.00 <br />0.00 <br />$ 2G1.00 <br />$ 688.00 i� <br />$ 949.00 <br />Sewer Bond District <br />Abutting Lot Line <br />N, S, E, W ft. <br />Approved By <br />Issued By rA <br />�` /f f�/"- <br />Customer Signature �%� �% ���� <br />, . <br />Inspection By `O�yr /�a� <br />Date Inspected `'� � S' S � <br />INSPECTION <br />;: 2?9G9 <br />