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r< <br />�: <br />�, <br />� <br />�� r��, � <br />� „ <br />� �BS���� S <br />� ��$�;��� � <br />d Pe ' � � <br />SeHrer Application, � �� �� <br />;•!c �9540 <br />� �������. � <br />DATE� �2/1/93 <br />�� �� 3901 Crand Aw <br />Billirg Address 3601 Colb� <br />City, State, ZIP r.et v. op�n1 <br />Owner <br />Connectbn by <br />Address , <br />Phone <br />Leyal peecxipdon: <br />Lot <br />Blodc <br />Plet <br />Unplatted De�xfPtbn: <br />Type of PertnR � dOII°�tion <br />Remerks <br />IMPORTANT! <br />CALL 1-800-424-5555 48-HOURS <br />PRIOR TO DIGGING <br />CALL 259-8810 FOR INSPECTION <br />- ,� <br />Utiliry Account No. <br />CHART NO. <br />TQ �PQS�TING�11� <br />g� <br />�� <br />� <br />Pertnft Fee S <br />Connectlon Charge <br />Trunk <br />Lateral <br />Total Connection Cherqe <br />Utiliry Deve�opment Fee <br />Weter <br />sewa� <br />Total DevebpmeM Fee <br />Sewer Bond DlsMct <br />pbuttinp Lot l.ine <br />N, S, E, W — <br />Approved By <br />Iasued By <br />Customer Signature <br />70.00 <br />S <br />s <br />s -�- <br />a <br />a <br />a <br />Inapection By �e /�"""" <br />Date Inspected � 2� 9 y <br />179.00 <br />471.00 <br />650.00 <br />SEE SKETCH ATTACiiEa INSPECTION ;'. ° 2 9 5 4 0 <br />u� <br />