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]'L'V . - <br /> __�.�_� r;r, -. L � .� r .�`-:.: I . <br /> �o�.....:, . . . - . ao<.tC':1'4it�^'.�, . � -A)�'l::i�.��' .t�fiTCth ., . <br /> I - CHART NO. <br /> �•� <br /> , , <br /> � <br /> y , T� ��ST�� 12-IS-4� <br /> � <br /> � i� �u g S � � �f � r5 � ;(j <br /> � '�;- o cc* �, oom <br /> I g � � � � '.a' „ , � r :� <br /> Ll M �.t N 'M- M �;F e� �•.) <br /> Sewer App�ic�tion �r� I��rrmit <br /> �,2 � � � �, _ � <br /> ; � `5� �� � y �`�i`', �S � � �� �; z <br /> � � � L� � E� �; � i � � � u5 :. _ <br /> ' ,' 29319 � DATE 6/28/93 <br /> 6134 l�t Dr SS �����ty p�unt No. <br /> 'I Service Address <br /> Billing Address 22928 57th Aw 5E <br /> I 70.00 <br /> City, Stete,Zip <br /> fioodinvilla ilA 98072 Permit Fee S <br /> ��� Adventur� Cou�t Inc _ Connection Charge <br /> �'.Connection by <br /> Trunk a <br /> � .�Address Lateral t <br /> I -0 <br /> � Total Connection Charge S <br /> I <br /> � P��e UNlity Development Fee <br /> � a 179.00 <br /> I Legal Description: Water <br /> i �t 9 Sewe� S 471 00 <br /> � 650.00 <br /> B� Total DevelopmeM Fee S <br /> I Plet �dN�d Ter. Div II <br /> iSewer Bond Dist�ict <br /> Unplatted DescriPt�on: <br /> I Abutting Lot Line <br /> NSEW R. <br /> � <br /> 'I paw connection Approved By <br /> IType of Permit � IIb <br /> Remarks Issued By � <br /> � f l.'.t' .. <br /> ICustomer Signature , ��" " <br /> �I IMPORTANT! <br /> �'� CALL 1-800-424•5555 48-HOURS <br /> I PRIOR TO DIGGING ,�,� <br /> inspection By ���"'NA� <br /> � CALL 259-8810 FOR INSPECTION c�gr,3 I <br /> Date Inspected <br /> � ' <br /> SEE SKETCH ATTACHED . � �9 31 9 <br /> I INSPECTION • <br /> � - — ----- <br />