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.. . �.m'-v'-nz:.-,�•i.,�.,-e-r� . -,i .(1.�';..4<r,::.. .—,i. _"'._' , .. , . � , . , � <br /> � .. CHART N0. —_—_ <br /> � -' <br /> f, <br /> R <br /> � TO POSTING �z-z�• � <br /> � ���a,s �, p ;�;5� <br /> � o. �; ��;� � � z; ��� . <br /> - .1 a .. � . .. � <br /> Sewer Applicati�n,ar�l,�'�,n`�it,,�� <br /> � �4J� '^ W_ F. �t } V - `�i�qin� �„i� <br /> k. :.] .". r �^.:�] v �.�Y _". ��3 .�.'i�. �4 �� <br /> ." ti9381 � DATE s/19/93 <br /> ServiceAddress 54:5 l�c 8r W UtilityAaountNo. <br /> BillingAddress — �'� �O Se � <br /> Cfly.Stata,Zip . •nc[ NA 98203 permit Fee S 70.00 �� <br /> Owner Sdacc na9ES ConnectionCharge <br /> Connection by SC C Trunk S <br /> Address - Lateral S <br /> — Total Connection Charge S -� <br /> Phone ___ Utility Devalopment Fee <br /> legal Description: Water $ 179.00 _ <br /> Lot �� Z� Sewer � $ <br /> Block 7otal Development Fee g 179.00 <br /> Plat Wnabrook Ulv 4 <br /> Unplatled Description: Sewer Bond District UtIo O I <br /> _ Abutting Lo�Line <br /> _ N,S,E,W 1t. <br /> Type of Permit Approved By <br /> gb <br /> Remarks Issued By � <br /> j!�:�r� !'i;i.���,. r.i <br /> CustomerSignaWre.� � �'�`� �'�'"` <br /> IMPORTANT! <br /> CALL 1-800-424-5555 48•HOURS <br /> I pR10R TO DIGGING <br /> CALL 259-8810 FOR INSPECTION Inspection ey ��'�<' /,,,�, <br /> �----- - i� �i Date Inspected ir�e.•» <br /> SEE SKETCH ATTACHF.D <br /> INSPECTION .� 293F� � <br />