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_ .�, �;:�.ro►emwa;� <br /> u <br /> � CHART NO. — - -- <br /> N <br /> � <br /> E <br /> � s � � � �� � � � s � �qy'1'A TO PQSTING_ �o-�y-�� , <br /> � V��l P. C� „ b1 � � � U S i T <br /> C 1 c4 « e. M vu ... <br /> Sewer Applicatio �and �� ���itW � � � � <br /> . . <br /> 1! � � � x C:� G] OS � �^ ~Cc � � C_ WS • <br /> 3' : .�i �1 <br /> � `:� 29223 ATE �"�2'� <br /> Service Address �J Utility Account No. � <br /> Bfllfng Address 14i10 SEL-RED RD <br /> , Ciry, State,Zip a�'� w� 98007 permit Fee $ 70.00 <br /> �e� CpIANY CRAFT Connection Charge <br /> Connection by u� � Trunk a <br /> A��� Lateral S <br /> �_ ; <br /> Total Connect(on Cherye S , <br /> P� Utilriy Development Fee <br /> � Water a 224.�0 <br /> L.epal De9Cfiption: . <br /> �t � Sewer a <br /> Blodc <br /> Totai Devebpment Fee S Z'-4.00 <br /> Plet a�DR00R DIV II <br /> Unplalted DescdpHon: <br /> Sewer Bond DlsMct it' 7n <br /> Abutting Lot Line <br /> N,S, E,W n' <br /> T of Permit NEu CONNSCTION Approved By <br /> '� a� _ �� <br /> Remerka issued By <br /> Customer Signature �/ f '` ' ' � <br /> .` <br /> , , —�,_ <br /> IMPORTANT! <br /> ' CALL 1-800-424-5555 48-HOURS <br /> PRIOR TO DIGGING <br /> Inspection By a�e �g� <br /> CALL 259-8810 FOR INSPECTION Date Inspected G-�- 9 3 <br /> SEE SKETCH ATTACHED • ,� ` y�2 z <br /> INSPECTION � - <br />