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�"�4"" r"���=°�;`�`. m PnSTING <br /> t!�'ILITIE� i2 `,3-�rf <br /> PEFsMIT _ <br /> ^' ::�::� :: <br /> D'ate: 1:/OS/94 <br /> Serviee T.d3rece: 1C0'_= F:OL;.Y �:. — <br /> C`ar.ge Re��est <br /> Hil:i�g tiame: ICANtiA�:, dIi� <br /> 6il:ina i.ddr.ess: 'OC�S ROLLY 7R �F 99204 <br /> C?ty, state, Zir: E����_�T_g�95 <br /> P:'^ne: <br /> � a <br /> Legs.'. JeScrip['_or,� Frcr.-ace:B�k � Ad�n. '•`• o= Ur.its: 1 <br /> W.l':'_'R SER\'?�E _ __ - <br /> S.O. No. 0 a-.:!cat_❑ ho. 0 <br /> Fixed: Deposit: nater Permit Fee: { 50.00 <br /> Svc. Size: Svc. :ype: <br /> Setter Inctallation Date BY ' . <br /> Heter No. Size B==�O —"" <br /> Heter InstalLation Da^_e dY —' <br /> Wa7er On Off_ Lccked Cu2_ =y_ — <br /> R•emarks:— <br /> TSG — <br /> SEWER SER'JIC'= <br /> er.ni o.: Z9H9T— <br /> Permit Type: !7EW CONN£CTION L:� �`=•0 ' <br /> Sewer Per.nit Fee: � 570.00 <br /> Systems Developer.ent Fees� Water 50.00 <br /> Sewer 5519.00 TOTAL: 5519-00 <br /> Eor.d III Connection CharaeTrunk 50.00 <br /> Lacera: SQ.00 TOTAL: �. 50.00 <br /> Remarka: <br /> SEF�ER HOOK UP IN CONJUNC'fION WITH :!UKILT£O <br /> i ) <br /> /'`-� / <br /> Inspected b__!��/�_(a�,S���Date �i� / �tlf . <br /> % � <br /> Gra�d Tote1: $589.00 <br /> Inspec=oc Copy <br /> 9y ' ,�b. ' _ . <br /> ��� � � _�� � <br /> ...� ���� � <br />_ �zm��s ::,� . . _ <br />