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� <br />�3 <br />1 <br />L <br />� <br />Sewer Applica� <br />a <br />';`: 289�6 DA <br />Service Address <br />Billing Address <br />City, State, Zip . <br />Owner <br />'�� Connection by . <br />Address _ <br />O CJ CJ Cl Ul G[� n � f-1 O C'J <br />c� t�p ci � o o�. o ri o r%, .o- <br />��.� W T- CJ vt :.r[7� � N-� (� <br />eX M W M tl+ M � N M � <br />M <br />.� <br />o� anc� PL, ��.t , �, <br />������'�_ � ���� <br />t�dti��,o�_ ������� <br />TE 12/22/92 <br />l033 W Eukilt�o Slvd Utility Account �o. <br />5804 Gdy Ad <br />8var�tt uA 98206 <br />Hovazd Lorants <br />�'"`� Phone <br />Legal Descriptlon: <br />Lot 3 <br />BbCk <br />Plat SP 9-92 <br />Unpletted Description: <br />Type of Permit Nw conn�ction <br />Remarks <br />IMPORT.4NT! <br />CHART NO. <br />TQ POSTING "AR o 5 �ss� <br />PermitFee $ _ 70•00 <br />Connection Charge <br />Trunk $ 270.00 <br />Lateral $ 450.00 <br />Total Connection Charge $ �20.00 <br />Utility Deveiopment Fee <br />Water $ 2z4.00 <br />Sewer $ 589.00 <br />Total Development Fee $ 813.00 <br />II <br />Sewer Bond District <br />Abutting Lot Line <br />N� g� E� yy ft. <br />Approved By <br />Issued By �B <br />Customer Signature � _ _ <br />CALL 1-800-424-5555 48-HOURS <br />PRIOR TO DIGGING <br />Inspection By ��� ��� <br />CALL 259-8810 FOR INSPECTION 3- i b_,i 3 <br />�'� r�r. . �- <br />`7- b�- r% 3 Date Inspected <br />SEE SKETCH ATTACHED <br />INSPECTION � :' z � 9 4 � <br />