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- -- -- - - - -- - , —, <br /> . �.�.�T <br /> �. . ,. . . . , . � <br /> �,�.. :• . --�- .. . ,� ,.� . . , i <br /> „ _ CHART N0. — i <br /> � �- , <br /> � <br /> � ', <br /> � � � <br /> i � a � � � 4 � � � g ��, � <br /> - ; <br /> ;_j 1.. L 1 �� : J1 l l � CC � <br /> � ;�, �° � ��; . TA POStING � � i <br /> � � ' � �- ,�,�� <br /> � - �, i <br /> � Sewer App _ � ei�mit ' <br /> lic�tion� a `�!: P � <br /> � �, � � �' �y� � � -. o �i �- r- � �-' W ; <br /> I ' � , u. r_ J ._ -. � _2 :L <br /> � w f �ff L� L - -- i.� �: .J :S _i :.'� II <br /> � �' � ? '8 7 d �� �ATE e/z�/9z �, <br /> I <br /> ! 9210 let Ave SE Utility Account No. � <br /> Service Address <br /> I Billing Address 9306 let Ava SL <br /> ! 70.00 I <br /> � <br /> City, State, Zip � *� �e aa�na Permit Fee $ <br /> � Owner �• J. Ilanwck Connection Charge <br /> � Trunk � 330.00 i <br /> '� Connection by 395.00 <br /> j Address Lateral $ I <br /> i <br /> Total Connection Charge $ 725.00 <br /> I I <br /> Phone Utility Development Fee j <br /> 179.00 � <br /> I Legal Description: Water $ ' <br /> 471.00 � <br /> Lot Sewer $ � <br /> I � <br /> B��k Total Development Fea $ 650.00 <br /> I <br /> Plat <br /> IUnplatted Description: Sewer Bond District III � <br /> I Abutting Lot Line I <br /> i <br /> �I NSEW �. I <br /> � Type of Permit NeM connaction Approved By <br /> � CB <br /> � Remarks Issued By <br /> Customer Signature �� % <br /> � <br /> IMPORTANT! 'I <br /> I CALL 1-600-424-5555 48-HOURS � <br /> PRIOR TO DIGGING <br /> i <br /> Inspe��tion By '� <br /> I, CALL 259-8810 FOR INSPECTION � ' <br /> �I Date Inspected ' <br /> I <br /> I'i SEE SKETCH ATTACHED , � 3 'i 7 '� <br /> I INSPECTION <br />