Laserfiche WebLink
� � µ :��� . �:� , , , . <br /> CHART NO. <br /> � - /3'�� <br /> � �� �_ 3�� <br /> � <br /> TO Ptt;-• .� � <br /> x: �ss� �€ a a � �._; <br /> �o ..� � � � { Y: <br /> � � � ._ • .. µ <br /> P r� <br /> w ` H fJ <br /> � <br /> Sewer Application` acn�{yd ��rt�i� '�. <br /> t 1 � � �il U C] 4�� �- C �� �y W <br /> q ^^ 'rr�- W� . �• � J }j' <br /> . . 49JJd C�; .._ r r _. � - a i _� <br /> DATE o/2o/v3 <br /> Service Address 5728 Parkviav Ln Utility Account No. <br /> . Billing Addre55 14410 Bel-Rad Rd � /� _� ' <br /> � <br /> ,Ciry,State,Zip nen.�„�. v. annns Permit Fee $ / 7U•Oo <br /> � Owner Colony crafc ConnectlonCharge , <br /> Connection by �f- — Trunk S <br /> Address Lateral $ <br /> Totel Connection Cherge S -�- <br /> Phone Utility Development Fee <br /> Legal Description: Water g IYl�88224.00 <br /> Lot 3 Sewer E <br /> Block Totai Development Fee S 224.00 <br /> P�a� tlenabrook Div 2 <br /> Unplatled Descrip�ion: Sewer Bond District ULID V1 <br /> Abutling Lot Line <br /> N,5.E,W k. <br /> . <br /> Type o�Permi� ��++ conooction Approved By _ <br /> Remarks Issued By IIb <br /> CustomerSignature V � '� ` " ` - �� <br /> IMPORTANT! <br /> CALL 1-800-424-5555 48-HOURS <br /> PRIOR TO DIGGING / <br /> Inspection By(-�'��•���'��� <br /> CALL 259-8810 FOR INSPECTION <br /> � Date Inspected y'��"7 j <br /> . ._— /. ,. •% <br /> SEE SKETCH ATTACHED <br /> INSPECTION � . ���9 � <br />