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� � . . . .. _. . _. _ .�.__ ._'___. . "_' _ . ._ _ _- _ .'"_. . _..._"_ _ .-. _ . . . . ._. � <br /> �__ . <br /> +o H CHART NO. <br /> 9Hfn <br /> H �� <br /> �x �a <br /> H �._ <br /> f/� N � . . _� _.i �..� <br /> o�� , J _ TO POSTING 3�_._ z�-q3 <br /> ��g , Se�rer Application and Permit <br /> y _ �. : <br /> gy y "r' 91 1 '� DATE 'g-c_n3 <br /> H <br /> n�y <br /> � Service Address 4G73 xER`:o;VT P� Utility Account No. <br /> y p y I Billing Address SAN.E <br /> City, State,Zip EVF.RETT NA 9t1203 Permit Fee $ 70.00 <br /> ' Owne� CAiI1ERINE ALBRI7.I0 Connection Charge <br /> ICOnnection by COTT CONSTRUCTIO:� CO Trunk $ <br /> ' Address 7403 nCPHERSON till _ Lateral $ <br /> ARL7 NGTo`� Wf. 982223 Total Connection Charge $ <br /> I <br /> ' Phone 653-3133 Utility Developmenl Fee ' <br /> , Legal Description: Water $ ---"' <br /> '�1 ; Lot Sewer $ 471.00 <br /> '�' I� Block Total Deveiopment Fee $ 471.00 <br /> � <br /> '�1 � Plat <br /> ' ' , Unplatted Descriptlon: Sewer Bond District <br /> '�t � Abutting Lol Llne I <br /> ' ' N,S, E,W ft � <br /> Type of Permit NE[a CohNECTIon Approved By <br /> � Remarks Issued By '�f{ <br /> 1�' I <br /> � __ Cusromer Signature "� <br /> I IMPORTANT! � <br /> ��� <br /> C�\LL 1-800-424-5555 48-HOURS I <br /> I ' PRIOR TO DIGGING <br /> � InspecHon By ����"°" <br /> CALL 25y-8810 FOR INSPECTION <br /> Date Inspected �-��"s3 <br /> � <br /> 1 <br /> ' SEE SKETCH ATTACHED I <br /> INSPECTION M� � � � <br />