Laserfiche WebLink
CHART NO. <br /> � �� TO POSTING 3-3i�'3 <br /> a�ayc <br /> C H <br /> y� � Sewer Applic��c�n and Permit <br /> H :a <br /> � y H ? ' ; �9 4 DATE B-'-4-92 <br /> � z� <br /> O � tl <br /> Service Address 73�0 ?1F.RiDIA:7 AVF: Ulility Account No. <br /> n <br /> � 2529 189tt� St: <br /> p;�n Billing Address <br /> z H� Bothcll s7A 98012 Permit Fee $ 70.00 <br /> � y City,State,Zip <br /> g y`3 (hvner universc Conntruction Connection Charge <br /> ��vt'+ Connection by �r+ner - Trunk $ <br /> y y y Address Lateral $ __ ` <br /> O <br /> Total Connection Charge $ <br /> � Phone 481-3366 Utility Development Fee <br /> i Legal Description: <br /> Wsi6r $ 179.00 <br /> � �� 471.O:i <br /> Let � °I �horc Plnc 31-:�9 Sewer $ <br /> 650.OQ <br /> ' Block Totai Development Fee $ <br /> Plat <br /> � �� Sewer Bond District � <br /> Unplatted Description: <br /> Aburiing Lot Line <br /> I �� NSEW ft. <br /> Type of Permit r�F�^ �=���'`rCTSot: qpproved By — <br /> . � ?iH :,/ ,. , : <br /> Remarks Issued By <br /> CustomerSignalure ��� � ��`�'d' �"' ' <br /> � IMPORTANT! ` ,r , �; <br /> �_ �. <br /> CAI�L 1-800• '."4-5555 48•HOURS <br /> PRIOR 1 O DIGGING �" <br /> �lnspedion�y �-5�° �` �- <br /> CALL 259-8810 FOR INSPECTIUN � ,�,:; 3� _��l <br /> Datelnspeded <br /> SEE SKETCH ATTACHED •,� ?���,� <br /> INSPECTION <br />