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I',.. —�!T a�d�3.�;� .��T.`�_'.�j).i�wS:tok^�"�l <br /> .. , 1 ��"R.``�:.?...Ln.,,'',.:-�A�d.41't%.,'�..�Y"}ti7rro. -.Q..�.,.. ,f. {��_ <br /> " CHART NO. — <br /> �-, <br /> ;� T(! �POSTlNG�-+�-�� <br /> � <br /> � <br /> � � � � � � � � g � g <br /> � p 3 O O •f O L� 7 P �"� <br /> �] N M f�f 1 �' n' �' Q` <br /> LJ �q �M1 l4 M M : 6� N. V <br /> Gl � ' .�•� �� h ~ i!1 <br /> N <br /> Sewer Appl�cation an� -�e�rm�� � � �; � �� � � � . <br /> FL� [� L`� ..] <br /> ' �' 2 9 5 2 7 DATE ti—z2-93 <br /> , ,. <br /> $ervice Address 5629 1 sc Dr N Utiliry Account No. <br /> Billing Address 237 Elm St <br /> Clty,State,Zip <br /> Evara!t HA 98203 permitFee $ 70.00 <br /> ��� Snlecc Homae Connection Charge ' <br /> Connection by _ Trunk a � <br /> Address lateral a I <br /> -0- <br /> Total Connection Cherge E - i <br /> Phone Utility Development Fee <br /> Water $ 179.00 <br /> Legal Desaiption: ___ <br /> �� 25 Hanabrook 4 Sewer $ — <br /> Blodc <br /> Total Development Fee y 179.00 <br /> Plat I <br /> ������o�, Sewer Bond District <br /> Abutting Lot Lfne <br /> N.S, E�W _ ft. <br /> Type of Permit ��w connectlon Approved By <br /> Nti <br /> , Remarks _ Issued By <br /> Customer Signature <br /> IMPORTANTI <br /> CALL 1-800-4245555 48-HOURS ' <br /> PRIOR TO DIGGING //_� / <br /> Ins�ectlonBy ���e(h"'an <br /> CALL 259-8810 FOR INSPECTION Cete Inspected 3^'z3-5' <br /> SEE SKETCH ATTACHED �,,, 2 9 5 2^ <br /> INSPEC'fION <br />