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,,,.'_�_.._..,�..<--r--�;,r.a�wr,�:�-�:-T. .� . .. .. . .. <br /> CHART NO. ---- <br /> i <br /> � �, <br /> c <br /> L� <br /> , }� ��:e s �4 � s s = TO pnSTING �-3�_ <br /> L <br /> � (�: �,f�O .IO Op u'� ' �- <br /> . �� �� �Ir .n � �F (L .�-�� • b <br /> a7 M <br /> , Sewer Application �n` `d P;g�� � � , M <br /> � �Ll L]�'y�jC�l i:i L� 3G 'S'�� W j W <br /> ^^0 2 5 DATE t-13-93 <br /> ' Service Address 5421 Parkviev Lnno Utiliry Accrount No. <br /> Billing Address 14410 Bedl-Red Rd 0200 <br /> � Ciry,State,Z�p Pell vu up 98007 Pemiil Fee $ 70.00 <br /> ' �,�ef Colonv czuft ConnectianCharge � <br /> Connection by Ovnr.r 'UC� Trunk S <br /> Adtlress Lateral S <br /> � Total Connection Charge $ <br /> Phane 644-23Y3 Utiliry Developmenl Fee <br /> � Legel Descnpqon: Water $ 179.00 <br /> LOI �� of Nanabrook DLv 2 Sewef 5 + <br /> Block TotalDevelapmentFee y t79.0o <br /> Plat — <br /> Unplatled DescApqon: _ Sewer Band District <br /> Aburiing LoI Line <br /> N,S,E,W n• <br /> Type ol Permi� M1ev connection Approved By <br /> Remarks Issued By tTM / <br /> ' Customer Signature �� � � � ' '! L� <br /> I <br /> I IMPORTANTI <br /> CALL 1-800-424-5555 48•HOURS <br /> PRIOR TO DIGGING <br /> Inspection By ��5 '/�"4 <br /> CALL 259-8810 FOR INSPECTION <br /> � <br /> oeta ms��a r-r-,� <br /> j SEE SKFTCH ATTACHED <br /> �i INSPECTION �� 2 9�'�- ' <br /> i' <br />