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— — , . -------, <br /> , <br /> �0 POSTING � d '4 CHAR7 N0. � <br /> — � . <br /> I <br /> T� A(1CtING � q3 � <br /> � <br /> Sewer Appli�ation and Permit �������,�� ,���-�„ ��'o��a�,,:i, r��. <br /> , <br /> ;+ooa>�9i� I <br /> E1DC aG2:.�.1 <br /> '. 2 9 8 2 2 pATE suly 2�, 1�92 ��e� s5o.co <br /> � �r, .t <br /> ServfceAddress 4737 ���� Aoe E� S�:H 34.Sii � <br /> Utility Account No. , , ,,. � <br /> Billing Address 610 Front St 8406 FLM CH ??.9'� <br /> H600C9�1U � <br /> City, State,Zip �ilteo, w� 9e�75 Permit Fee $ 7��� f iO�.OD ; <br /> Owner St°"8 ° t�niae coetz Connection Charge S[41ER 470.00 � <br /> k�{D I I 672D.� I <br /> Connection by Trunk 117$�5 2�8i(PP,n <br /> ��ASH s�:�1 ;.9� , <br /> Address Lateral $ d5o.00 <br /> Total Connection Charge $ 720.00 <br /> Phone Utility Developm3nt Fee .. <br /> L@gal Description: Water $ 179.oo , <br /> � Lot g Sewer $ 471.00 I <br /> � g�p�k Tract ds <br /> Total Development Fee $ 650.o0 <br /> Plet _��aPle flts <br /> Unplatted Description: Sewer Bond Dfstrict aotm ZZ I ' <br /> Abutting Lot Line � <br /> I <br /> N, S, E,W ft• i <br /> Type of Permit r�w cot�:tEcrrota Approved By <br /> Remarks Issued By J �aockwell � <br /> �, / ./ �_ ___-� . <br /> C��stomer Signature C1 i �l� �•-�'-�-�' i <br /> IMPORTANTI i <br /> CALL 1-800-424-5555 �8-HOURS i <br /> PRIOR TO D!GGING � j <br /> Inspection By /t�_ �O� �� � <br /> CALL 259-8610 FOR INSPECTION � <br /> � <br /> Date Inspected _ 3 - Z' y j I <br /> � <br /> SEE SKETCH ATTACHED j <br /> INSPECTION , Z u �i L� I <br /> i <br /> L— --- -- _ _ - _ . I <br />