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�. <br /> . �',����.� . ,:s ..t�:.,.�{�ea� . ' '��*''n�a _ <br /> ! � } . <br /> . , :;; CHART NO. <br /> t I <br /> p <br /> :. <br /> J <br /> � Ta POSTIN� �- z�- a� <br /> � � � � � � � � � � � � � <br /> I � y ,. r.� OM CJ � G C� r J <br /> � � M M W M � M M � T <br /> Sewer Appl� ion �n _ ��,e��ni� <br /> ^ � � U �, � � � � � � <br /> ; '^ ?_95�9 � DATE � � 1z/&�/9 � � � <br /> 5720 Parkviw Ln <br /> Service Address Utility Account No. - <br /> :4410 B�1-H�d Rd <br /> Billing Address <br /> City, State, Zip <br /> Bal��vw IiA 96007 permitFee $ 70•00 `: <br /> ��� Coiaf� Craft Connection Charge <br /> ����by �C.R Trunk S <br /> q�� Lateral S — <br /> Total Connection Charge $ -� <br /> php� Utilfty Development Fee � <br /> �p���p�; Water S 179.00 <br /> �� S Hanabrook Div 2 Sewer S <br /> B� Total Development Fee S 179.00 <br /> Plat <br /> ` ����p�pqo�; Sewer Bond District �'� �l <br /> Abutting Lot LJne <br /> I <br /> N,S, E,W n• � <br /> Type of Pertnit Nw connectioa Approved By <br /> Rb <br /> Remarks Issued By <br /> Customer Signature <br /> IMPORTANT! <br /> CALL 1-800=4245555 48-HOURS <br /> PRIOR TO DIGGING /�G�/�� <br /> Inspection By �� <br /> CALL 25�-8810 FOR INSPECTION a .j- y <br /> ; Date Inspected y <br /> �=:� � --- - - �°y I <br /> SEE SKETCH ATTACHED I <br /> INSPECTION :° Z 9�J 4 � <br /> - ----- ---' <br />