Laserfiche WebLink
. '"'� <br />Sewer Applicat <br />' 2$�2� <br />CHART NO. <br />�� <br />�: <br />� <br />`-� , , <br />:c � :•', "=•� 4 ,u �� S` i�,'', <br />6 ti �: i J O.y pj .. <br />�Y �.. � �_ . �n bt fJ <br />• �' �� 1 rv> M N' <br />y N i� �• <br />1011 al'�� � �� <br />rm��� � <br />:'' �i3i �`a'%,,vUt.-}4 <br />� ` �_^ � .+ n J J �J <br />C- . V.+ �c W 1^. L] u U <br />DATE � l�Ze�92 <br />Service Address 6410 Hinhland llr <br />Billinp Address �3302 84th St S$ <br />Cily, State, Zip Snodoai�h ilA 98290 <br />Owner Glonn .1 Apolin <br />Cannection by <br />Address <br />Phone <br />Legal Descriptlon: <br />Lot 5 <br />Block 5 <br />Plat Morth B�v�rly Park Div 42 <br />Utility Account No. <br />Permit Fee $ <br />Connectfon Charge <br />Trunk <br />Lateral <br />Total Conne.:Hon Charge <br />Utility Development Fee <br />Water <br />Sewer <br />Total Cevelopment Fee <br />30.00 <br />$ <br />$ <br />$ <br />$ 109.00 <br />$ 288.00 <br />$ 397.00 <br />I (retited) <br />Unplatted Description: _ Sewer Bond Disirict <br />Ahutting Lot Line <br />N, S, E, VJ n. <br />Type ot Permit Alceration Approved By <br />Remarks- Upgrade r�var tu llinimum 6" diamiter.- Issued By �B <br />yOTEt need to install Nater meter.-+ � <br />Customer Signature . ' � ' <br />� ,,�.,: �_, . <br />Work rar alnoaT ��:-� �' <br />IM�ORTANT! <br />CALL 1-800-424-5555 48-HOURS <br />PRIOR TO DIGGING <br />CALL 259-8810 FOR INSPECTION <br />SEE SKETCH ATTACHED <br />Inspeclfon By C�v�P �H�^ <br />Date Inspected a/�' � <br />INSPECTION <br />: 28S?� <br />0 <br />