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, . , ��'F76F��n�i3i-�Yic;T.)`"�•iS- t!-�:.,-!s='.-�y.:.v:tr_�'<_,i. k.:,.�'�'R,. ,a_.:t.iin. .Ti;:!l,. .,.. .. <br /> _.t', � <br /> CHART NO. - <br /> � ro PosriNc ,_ <br /> � `� <br /> � � � o � � ,� � Q � � � <br /> .-, sr� o �ro � � o � ? <br /> � (� ' _' <br /> .�l � �a . �i W .t aa �..� a <br /> � N. � H M � '� �n <br /> Sewer Apppicatio�. �nd P�r��� � � ,� `` ' <br /> . �� � � � � > � d � a � 3 �� �.� i <br /> � � � W W � sc � � 3� :� �','� .-, �• I <br /> , _: 2 95 8 .ri DA�E 1-25-94 _ <br /> Service Address 5523 let Av� SE Utility Account No. ----'— _,k-- ._, <br /> BIIIinqAddress 14410 Be� Red Rd A200 ' <br /> Ciry,State,Zip <br /> Sell�vu� HA 98007 PermitFee $ 70.00 <br /> ��� Colony Crafc ConnectlonCharge <br /> Connection by ���'� — Trunk $ <br /> A��$ Laterel a <br /> Total Connection Cherge S -�- <br /> Phone Utility Development Fee <br /> Water a ZZ�.00 <br /> Legal Description: � <br /> �t 35 Hanabrook D1v 2 Sewer a <br /> BIoCk <br /> Total Development Fee a 2z4.00 <br /> Plat <br /> Unplatted DescriPtlon. Sewer Band Distdct <br /> Abuttinp Lot Line <br /> N�S� E�W ft. <br /> Type of Permit nar connactlon Approved By <br /> Remarks <br /> Issued By � <br /> Customer Signature <br /> , <br /> IMPORTANT! <br /> CALL 1-800-424-5555 48-HOURS <br /> FRIOR TO DIGGING <br /> Inspection By—���� /" "'� <br /> CALL 259-8li10 FOR INSPECTION Date Inspected � ' �y�`�� <br /> SEE SKEfCH ATTACHED I <br /> INSPECTION �, 2�5� ,T <br /> � <br />