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= CHART NO. _ <br /> . � TO POSTING 9/z5 � <br /> � <br /> r �iJ�$ iQ '3 P�S c�v�`u''� <br /> �; o?^o -. a :i ci c_ ��c: <br /> ;� .�.:. ._s. � o � -� <br /> Sewer Application^ar�d Permi�� y 4: . � ., � <br /> O. �� . _ _ : C�' y'.t ! ` i <br /> r��T..r ..a' j.:,,F n L �y�-..�: <br /> �� � � tf: �- l. �� C- <br /> 2�02� � .�%14/93 "- ,_�� : • :33 _ - <br /> Ss��Y ��—'`�� <br /> s.:,.;_.�..;..`, <br /> Service Address ""-" --"'�'"�'" Utiliry Aaount No. <br /> BillingAddreu 14610 8t1-Red Itd 0200 <br /> Clry,SlatP,Zip Ballawe pA 98007 Permi�Fee $ 70.00 <br /> OWnef Colonv Crw�i � '� � <br /> Connectlon Charge <br /> Connection by _ ��� Tnmk 5 <br /> Address _ Lateral S .- <br /> - TotalConnectionCharge E 0.00 __ <br /> Phone _ Utiliry Development Fee <br /> Legal'7escriptlon: Water y 175.00 <br /> Lot _ tot fi0 Sewer S <br /> B� � Tmal Development Fee a 179.00 <br /> Plet ��brook Div II <br /> Unplaned Description: Sewer Bond Distnct ULI� d 1 <br /> Abutting Lot lJne <br /> _ N,S,E,W fl. <br /> Type of Pertntt Nev connectlon Approved By <br /> CD <br /> Remarks Issued By I <br /> — ' Customer Slgnamre1` � �� � "��-� <br /> 1 . <br /> IMPORTANTI <br /> CALL 1-800-424-5555 48-HOURS <br /> PRIOR TO UIGGING /� <br /> CALL 259-8810 FOR INSPECTION <br /> In•.?ectlon By—lx�'�Lllin <br /> Date Inspeded y�`�-y� _ <br /> SEE SKE�'CH ATTACHED <br /> INSPECTION �. =�i � ) <br />