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�`_ :�� . , t �..':l>: . .., '"�� _.. . , <br />� <br />�. <br />C� _ -. i r_. r� p) � <br />� r'�:iii4S;�'lr`_i T C <br />` . . '. �} . . . <br />hi [J �_ ��1 r� �f' O F: l' <br />. ., � �; <br />�, ., « . . <br />� ,�, <br />Sewer Application a�d`r'Permi� � J� <br />,.�, `c°% r`�., � �� :n s � <br />� � � �t _� ic '.�7' i <br />� :W ..] C :� _ _ <br />": % s� 7 8 DATE 3-10-44 <br />S9rviC9Address �118 Flighlnnd Dr <br />Billing Address p0 Box 3406 <br />Cky, StatB, Zip Everett Fln 9U20�+ _ <br />Owner Ken McCallinter <br />Connection by �`'i°"= <br />Address <br />Phone <br />Legai Description: <br />�t 4 nf SP P26-92 <br />Block -- <br />Plat — <br />Unplaried Description: _ <br />Typ9 of Permlt nea connection <br />Remarks <br />IMPORTANTI <br />CALL 1-800-424-5555 48-HOURS <br />PRIOR TO DIGGING <br />CALL 259-8810 FOR INSPECTION <br />SEE SKETCH ATTACHED <br />Utility Account No. <br />;. , -- �--f.: -- <br />CHART NO. <br />TO POSTING - �- s <br />O � �Y <br />�s <br />.� � <br />�� <br />� ,� <br />" �� <br />� JJ <br />rn ?i <br />PermitFee $ 70.00 _ <br />Corn�ect!an Charge <br />Trunk $ <br />Lateral $ <br />Total Connection Charge $ -� <br />Utflity Development Fee <br />Water $ 179.00 <br />4)1.00 <br />Sewer $ <br />Total Development Fee $ 650.00 <br />Sewer Bond District ._ <br />Abutting Lot Line <br />N,S,E,W <br />Approved By — <br />Issued By �H <br />Customer Signature — <br />G <br />Inspection By <br />Date Inspected <br />INSPECTION <br />, ,�: 29"73 <br />n. <br />