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,aT",. ^rt- . ;.-s�-��:. �.n�3t"'.';��.--; F'—r-� <br /> �.r^�.�L��?'. .���.1�w�y ' 'L:.;��.�:. ��1���...;t`�:ti .t —_K!.i/�.� i. ._'y^ � -!,�'� r. r, . r.f <br /> ♦i <br /> i. <br /> �, CHART N0. <br /> I � <br /> � <br /> � TO POSTING $ �Z�� <br /> s � � � 5 � � � � � �� g � <br /> �_' S .°,wo P � � �,u � � t= a � <br /> .n «� Hi <br /> Sewer Application a�c�Perrr�it� � � � � :', <br /> � n `c�3 � � c`''.� `cFs � z�,1 � t� o �wa .�y' 7' <br /> .+ W fi , C.-�u f.] 00. YF3 � (J� � .-ILJ <br /> ' '� 2 �3 5 3 DATE 8-3-93 — <br /> Service Address 17 E risrilqn Ave Utflity Account No. <br /> Bflling Address 10131 IST DA SE <br /> City, State,Zip <br /> Evar�tc HA 98208 PermitFee $ 70.00 <br /> ��� Don Lach�pelle Connection Charge <br /> Connectfon by <br /> Onwer Trunk $ 330.00 <br /> Address - <br /> Lateral a- 395.00 <br /> Total Connection Charge S �ZS'00 <br /> Phone 355-5130 Utility Development Fee <br /> Lepal Description: <br /> Water a Zz4.00 <br /> 589.00 <br /> �t Sewer a <br /> Total Development Fee $ 813.00 <br /> Bbdt -' I <br /> Plat <br /> Unplatted DescripNon: <br /> Sewer Bond Dist�ict I Il <br /> Abutting Lot Line <br /> I N,S, E,W h' <br /> Type of Pennit nav connaction Approved By <br /> Remerks Issued By � � � <br /> CustomerSlpnatur ���� `�' ���� <br /> IMPORTANT! <br /> 1 <br /> CALL 1-800-4245555 48-HOURS I <br /> PRIOR TO DIGGING <br /> Inspection <br /> CALL 259-8810 FOR INSPECTION }1 I <br /> Date Inspected , <br /> SEE SKETCH ATTACHED : �? 2 g 3 5 3 <br /> INSPECTION � <br /> ----- I <br /> I <br />