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� � � <br /> H <br /> � N <br /> Hz � . . ..�.. . . - --_.� ., �- — �- - - - - --- � — - -- - -- -^ . ,e � <br /> r. <br /> K y � .. - . . .r . ..� � ,A!:+.'+f��-�r*'� .. . . ... - � . � . . ,�ci.a:;cl°z�. . Y. .. ' i <br /> � y N � I , CHART N0. , ,' <br /> � �� ', � � �to � <br /> ��,g ; � - pOfT�NG � <br /> ~Y <br /> � � � fl ('� I <br /> 7i �"� l L ' L � �/ <br /> � � � , ,- ; � � � �-93 I <br /> y r �? <br /> HH � _. �� . � c_� <br /> y � : <br /> g�� '� Sewer Application _and__Per��init � , ; F, �_; � '��, <br /> ��ij I == i � w _ ' _- . : <br /> r� <br /> y o v, ^ ;�0't DATE 9%8/92 <br /> ` I <br /> I <br /> �I Service Address 5428 Parkviav Ln Utility Account No. <br /> � <br /> � ;��C�K� 297 ELH ST '� <br /> Billing Address - ; <br /> Sh8EhX767i�}(}tp�� EVEPETT 9A203 70.00 ' <br /> i Ciry, State,Zip Permit Fee S I <br /> I Owner gg13'�'i'X7�x SCLQCT HOMF.S Connectlon Charge � <br /> � <br /> Connection by S � � c * �«� Trunk $ <br /> `; <br /> i Address Lateral $ _i '. <br /> lo�al Connection Chargo $ n on _�_ <br /> ' ' � Phone Utility Davelopment Fee i <br /> ��' i 179.00 i <br /> � Legal Description: Woter $ ', <br /> � � I <br /> ' ' Lot 19 Sewer $ � <br /> I � <br /> '� � Block Total De�•elopment Fee $ 179.00 , <br /> 'p' I p�a� '�annabrook Div P2 - <br /> ' ' ULID O1 � <br /> � Unplatted Description: Sewer Bond District ; <br /> ��' Abutling Lot Line � <br /> I N,S, E,N! n' I <br /> ' ' Type of Permit Naw connectlon Approved By i <br /> � ' GB I <br /> � Remarks Issued By • , , <br /> �,�.t;:_%Y ,�{v";i f., �.�1=c� <br /> ��� i Customer Slgnatur�� . !i��� � � ,�,�„ � <br /> �I IMPORTANT! <br /> CALL 1-800-424-5555 48-HOURS <br /> PRIOR TO DIGGING � � <br /> Inspection By _ _' !r •"''�• , <br /> CALL 259-SB10 FOR INSPECTION ! <br /> Date Inspected > � ��5�s <br /> SEE SKETCH ATTACHED '' <br /> , INSPECTION . �� 3�3 <br /> r. . <br /> _ _—. ._ __ _. ._ _ _ - . _ . ._ '�. <br />