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M� ,—,-..------ ,:.:,,„.,. , --T� --� <br /> �^' r_���.�-.�_.����1•c"h'I'�lT� 3..14 �`.l�C11��F_Y�:1.. i�!' �� I <br /> � �i ; = : CHART NO. � <br /> � <br /> i <br /> I <br /> . TQ POSTING �-_��-_ � <br /> i <br /> �� 07�`07l92 2=4dPH OOOAH4792 t-t{� I <br /> � � <br /> � � kG003f�221 <br /> ' �p� 51465.`� � <br /> Sewer Application and Permit �.E� ��:3,.� <br /> ��� f�7o.� <br /> e �t� sa.so <br /> ' ;: Z$$ � Q DATE � 7 1992 FLN CH #l'19.r <br /> aoun;�io <br /> Service Address <br /> 1609 nool- ' ""' — Utility Account No. �WEF �30.Q0 <br /> 6'NDII a?'m.� <br /> Billing Address 121 M Winea�n - 1:71/5 �8�3.D0 <br /> ��e„ .., oam z Permit Fee $ '+n_oa��� +zpa7 7^ <br /> Ciry,Stete,Zip % <br /> Owner �d �l�trO10 Connection Charge <br /> $ 270.00 <br /> �� , _ Trunk <br /> Connection by __ <br /> �909 119th pl N6 Lateral $ <br /> qddress 270.00 <br /> , xirklend �1A 9803'+ Total Connection Charge $ <br /> ; <br /> Ph�ne - Utility Development Fee <br /> $ ^2A.00 <br /> Water � <br /> Legal Description: 5a9.00 <br /> Sewer $ � <br /> �t Lot 5 of 9P 18-HS 813.00 <br /> Total Development Fee; $ <br /> Block <br /> Plat =Z <br /> Unplatted Description: � <br /> Sewer Bond District <br /> Aburiing Lot Line <br /> n. <br /> N,S, E,W <br /> NEW CpNNECTZON Approved By <br /> Type of Permit , <br /> ISSUBd By J �kN�ll <br /> Remarlcs -> <br /> Customer Signature /� <br /> I i <br /> IMPORTANTI / I <br /> ✓ <br /> CALL 1-800-424-5555 48-HOURS i <br /> PRIOR TO DIGGING �0�� i <br /> Inspeclion By ��— ' <br /> C�AtL 2 9-8810 FOR INSPECTION �_ p j II <br /> /" 7 3�.J'� <br /> Date Inspected I <br /> ��� �. <br /> I SEE SKETCH ATTACHED � '? Z$a � 0 � <br /> I INSPECT�ON <br /> i <br /> Fs �,j T _ _-"_._"' <br /> i� . .___._'_. "__ -____ " _ . _ <br /> __. ___ —. ___ <br /> � ._ . _ . .. . ___ ._ . _._ . _ . . ... ..._ __ .._. <br />