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� . �. <br /> . . .;t' ..�v�,'�:7!.,-;?�1:��-. <br /> A MP . � <br /> " CHART NO. I <br /> �., I <br /> ,, <br /> � <br /> � I <br /> r�� � � � � � s k � �� � �; TO POSTING 3�_ ' <br /> N �� � � N • �� � � V �_ �� � <br /> W ♦ -� ... <br /> ..+ ' C. <br /> Sewer Ap�l�cation_ � ,�: Permit . � <br /> �, � �3 '�; � � � �'��- =„� � µ� ;- � <br /> � � �' � �' � � m � � o � i .�. �! �.: L . <br /> ° ' 29391 8/20/9I <br /> � - �aTe <br /> � <br /> s�oe i.e nr W ! <br /> Servbe Addross Utility Account No. - I <br /> Billirg Address 237 sla '� <br /> Cky, State,Zip r►.r•ee 1i� 98203 Permit Fee $ 70.00 � <br /> a"'^e► °-�-�t Hn�ra Connectton Charge <br /> Connection by S C E Trunk g <br /> ��� Lateral <br /> a <br /> Total Connectfon Charpe S 'o-' <br /> Phone Utility Development Fee <br /> Leyal Deacriptkn: Water <br /> s i�s.00 <br /> L�t 16 <br /> Sewer a <br /> B� Total Development Fee a 179.00 <br /> Plat B�oabtook DS� � <br /> Unplatted DescrlpHon: Sewer Bond DlsMct �ID/i <br /> Abutting Lot Llne <br /> N�S� E�W R. <br /> Type of Permit � ��etion <br /> Approved By <br /> Remarks Issued By_ Rb <br /> ,i , <br /> r, � � <br /> Customer Signature {� �'-� r � , <br /> IMPORTANTI <br /> CALL 1-800-424•5555 48-HOURS <br /> PRIOR TO DIGGIPiG �' I <br /> CALL 259-8810 FOR INSPECTION Inspection ey f ���c°���,w, <br /> Date Inspecte�i /a-� -pi <br /> SEE SKETCH ATTACIIED ' <br /> INSPECTION "; 29341 <br /> — — — — --- - - — -- _ _ _— - ----. _—� <br /> � <br />