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- t . I <br /> � CHART N0. <br /> � � TG POSTING �2-�z-� <br /> .z <br /> � <br /> 4=� �-1 �j p p p <br /> L C- 11 Q If� � Z'.`' G� �� <br /> �= .-� C� O .'l O O �-J � <br /> ,Y �.� «. ...� . (J L"� C- � <br /> .� µ , „ � cG. .� <br /> "� L i <br /> Sewer Application a�� Per�n Q�. <br /> U � � N 2 <br /> t�� ` '�1 C� R3 W O W i�1 <br /> � ('t L7 41 L U1 � 1S— pfl � <br /> f'• :� u 4. � �; �� .. =t �,' �� 1 <br /> ,_ 29657 DATE " 2/zalek <br /> Service Address 3232 Norton Av� (A6B) ������y Account No. — <br /> Billinp Address YC Boz 7823 _ <br /> Ciry, Stete,Zip a..r.ee 9a2oi Permit Fee S 70.00 I <br /> p�ef �OQ�� � Connectlon Charge <br /> Connecdon by �� Trunk S <br /> � <br /> Address � � `� °� ; Lateral S <br /> � � '-� `� " "Total Connection Charge S <br /> � ' "`- � <br /> ti. pfp� Utility Development Fee ..- �'� <br /> �p��p��; � Water S <br /> �pt Sewer S <br /> g� Total DevelopmeM Fee S <br /> Plat <br /> ���p��pq�; Sewer Bond District <br /> � <br /> Abuttinp Lot Une � <br /> � N, S. E�W R. <br /> ' Type ot Pertnft ���� conn�ction Approved"By I <br /> gb <br /> qemarks Issued By <br /> Customer Sipnature <br /> IMPORTANT! <br /> CALL 1-800-424�5555 48-HOURS <br /> PRIOR TO DIGGING ,(p� <br /> Inspection By � <br /> C 1 !(25�0 FOR INSPECTION <br /> �; ,�,;:;�.--. � '' ,�' �ate ��spectea . r� '��" I <br /> SEE SKETCH ATTACHED <br /> INSPECTION '``° 29657 <br /> ,� -- _ — _ _ .— _ -- ---------- <br /> - - --- - - — - <br />