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, -_ -- _----- - - - - - -- --- --- - --- _---- - <br /> ��� CHAR�f NO. —._ � <br /> '__/ S-�7��YJ <br /> _ TO POSTING <br /> { <br /> , _ .: <br /> ; <br /> Sewer App�icati�n and P�rmi# �, <br /> .,-, , , , ; _ _ <br /> D,4TE io/zo/�2 <br /> � ti009 4;rcaer 6vr <br /> Service Address . Utility Accaunt No. --- <br /> BillingAddress �240 Eastluke Ave 1: :i7_Oq <br /> Ciry, State, Zip `�••zer.le taE, 981n? parmit Fee $ 70.00 ; <br /> , Owner . _'��lly HoTea Inc Conneciion Charge � <br /> I Conneclion by _ Trunk $ ' <br /> ' Address — —_ Lateral $ <br /> Total Connection Charge $ ��"'�� <br /> Phone Utility Development Fee <br /> LegalDescription: Water $ i79.U�� <br /> Lot ` Sewer $ /,71.OG <br /> Block Total Development Fee $ �50.00 <br /> Plat Silveri�nwlc <br /> � Unplatted Description: _ Sexer Bond Disirict — <br /> — Abuttin� Lot Line <br /> - N, S� E� UJ _ ft. <br /> TYPe of Permit •��-�� Coc�uecr.ini; APProved by . <br /> Remarks Issued By ���- <br /> — Customer SignaWre <br /> IMPORTANT! <br /> CQLL 1-800•424-5555 48-HOURS <br /> PRIOR TO DIGGING -� ' <br /> CALL 2:i9-8810 FOR INSPECTION Inspection By��l�'��^'--- — <br /> � <br /> . Date Inspected �'` 3 � � ' � <br /> SEE aKETCH A11'ACHED ' <br /> r� <br /> INSPECiIGN <br />