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�� � , . . ., ,�, �� <br /> =- CHART NO. <br /> �� TQ PC�TING_ �-z -� <br /> I�+ <br /> � p C p <br /> �Lq � ��'.3,� � CIC� 1�1 � u � u ' G? <br /> f�5 O M n G 'y� f�! PJ O =� C � ln <br /> a � � Z� � .� � <br /> lM1 H � d � C_ <br /> • • I'i` C � ��1 `� wi <br /> Sewer Applica�ic� and P� � <br /> ��, F' d� k c <br /> - Cjf7F? Sr� uc .3 � �r Gp W - Lj <br /> '� }�-� � J Itl J J� �t. � � C� � G W � . � <br /> C.� �k G. G� 1 . .J Qi �J .r . � +r :� `Y ,p .. ,� � <br /> f'� <br /> '' z9� � � DATE 9/13/93 <br /> 5419 l�e Dr W <br /> Service Address Utility Account No. <br /> Bilifng P.ddress 237 Elm St �� <br /> Cily,State,Zip Ewr�tt NA 98203 permit Fee $ 70.00 <br /> p,N�� 9el�cc Mona. Connection Charge <br /> ConnecHon by �".� . Trunk S <br /> addregg �ce�ai a l <br /> Total Connecifon Charge S -� <br /> Phone Utility Development Fee I <br /> Legal Descriptlon: Water $ 179.00 <br /> Lot 23 Sewer $ <br /> Blodc Total Development Fee � 179.00 <br /> Plet Nan�brook Div 4 <br /> Unplatted Description: Sewer Bond Dishict 1�.ID il <br /> Abutting Lot L(ne <br /> IV�g, E,yy ft. <br /> Type of Permft �+ connection qpproved By <br /> Remarks Issued By gb . <br /> Customer Signature,,�i����� �5����% °i � r��" ��J'` ��'"'- <br /> IMPORTANTI <br /> CALL 1-800-42M5555 48-HOURS <br /> PRIOR TO DIGGING //� ' / <br /> Inspection By L,'�'v P��N <br /> CALL 259-8810 FOR INSPECTION <br /> Dete Inspected °2 ' �' 9y <br /> SEE SKETCH ATTACHED <br /> � INSPECTION ' � �� I 5 <br /> ^. . <br />