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! <br /> � " � <br /> H <br /> q M <br /> S� HCn <br /> i <br /> H �H _ - _ . . . , �i <br /> � y � jl _. CHART NO. II <br /> � �� - ' � <br /> � o� � � � �_ c, 3 � <br /> � � g i � T0 PosrrNc > I <br /> H� n �. c.:� � � �� y�i�c� " �_ � . /` <br /> C� p �_i u �': � I <br /> `_l. F-I � �i = r,. t�t iD o .,. ' p _ O o- � <br /> y H c� �� . u � c� r- 4• <br /> C" ' �� !, m I <br /> H H ', ':. ::� ., .. ' ' "� ... '` � 'i' .'.; I <br /> g�y � Sewer Application and Permit � �� � �y � __ i <br /> � r� U < � - � t) n � ti� .� r' I <br /> S 3 , c- W <br /> : �.:, � .� y.y r �+ . i�. : �, I <br /> �-3 o cyi, ' �,�3�4 DATE n °-e-92 I <br /> i <br /> � Service Address 5422 Pnrkview Lane Uliliry Account No. <br /> I I <br /> SillingAddress �''���`��'� Z3� EW1 ST <br /> ��(;�C1��}CX�3S�g EVEFF.TT 982(�ermit Fee $ 10.00 II <br /> I City, State,Zip <br /> Owner Sr;taCT HOMes Connection Charge I! <br /> Connectionby �or ��� �� rx cct�, Trunk $ ' <br /> i <br /> � Address Laleral $ �'i <br /> Total Connection Charge $ � ' � <br /> "1 � Phone (SQ9) 534-0644 Ulility Development Fee I <br /> 1�• Water $ 179.00 <br /> Legal Description: <br /> � r� I <br /> ' ' I Lot ZO of Nnnnbrook Div. 2 Sewer $ <br /> ��� Total Development Fee $ 179.00 ' <br /> Block <br /> � � I I <br /> � Plat , <br /> � � Sewer Bond District utIn <br /> '� �i Unplattad Descdption: _ � <br /> '_' �� _ Abutting Lot Line �, <br /> ' I <br /> I N, S� E,W ft' <br /> � <br /> � I, Nex connection A roved B <br /> f � Type of Permit PP Y I <br /> � ;;H � <br /> �� I Remarks Issued By ; <br /> � r � � <br /> �,' �: }� o ll�li / i ���_�! �P <br /> '� I Customer Signature , <br /> i <br /> i <br /> � �'`'''� '/�-�'�`�`` ', <br /> �� ! IMPORTANT! . <br /> CALL 1-B00-424-5555 48•HOURS � <br /> PRIOR TO DIGGING i <br /> � ����nrnn � <br /> Inspection By � <br /> CALL 259-8810 FOR INSPECTION 3_� � �3 ; <br /> Date Inspecled <br /> SEE SKETCH ATTACHED ?,, �9 R I <br /> INSPECTION - <br />