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�—,�.-.-..-,.�,� --- . --;-,-.-- _-.�_----- .- - CHARTNO..- , . <br /> -. -�.--�------' <br /> ' TO POSTlNG 3�z�-e`� <br /> �* <br /> � � s � p � � �; �5 � <br /> ��' � , g �� � <-�. �- , <br /> uj O � <br /> ili � o = - �', c, ' <br /> �, �; E; «; ' ';' �_; `' x � <br /> ? � � r. �� �� y .. . <br /> Sewer Applicatio�i (a� (Jnd ���'��� �, <br /> � 4 ,., � ._ ; , <br /> Il � O G� f2"1 �. � � Y ��� 1' G�1 . C� <br /> 'q �I � L, „ f7 L. Vl f VI [.- <br /> r-1 S. �L G. ti W L] � .. (.� Y "� � ��l ..� (_ <br /> 10/14/93 <br /> - ?. 4454 DATE , <br /> I5623 lst Dr W �(ility Account No. <br /> Service Address 237 Elm 6t <br /> Billing Address �—�— 70.00 <br /> Ewratc NA 78203 Permit Fee $ <br /> City, Stete,Zip <br /> Sal•ce Home• Connection Charge <br /> Owner $ <br /> � C� Trunk ' <br /> I Connection by a <br /> Lateral <br /> I Address 'a �� <br /> Total Connection Charge $ <br /> Utility Development Fee �� <br /> �� Phone $ 179,00 <br /> � Water I <br /> ILegal Desoription: a i <br /> 37 Nanabrook Div 4 Sewer � <br /> Lot Total Development Fee S 179.00 'I <br /> ' Block <br /> � Plet ULID f,�1 i <br /> � Sewer Bond District <br /> � Unplatted Descdpliorr. <br /> Abutling Lot Line I <br /> I n. <br /> N,S,E,W <br /> '� Nav conn�ction Approved By <br /> 'I Type of Permit y <br /> Issued By <br /> � Remarks I <br /> Customer Signature <br /> I� IMPORTANT! � <br /> i I <br /> �I� CALL 1-800-424-5555 48-HOURS I <br /> � pp10R TO DIGGING n ��n �•r n.� I <br /> Inspection B!� I <br /> I CALL 259-881� FOR INSPECTION �,y- �Y <br /> Date InspecU3d <br /> �! - <br /> � <br /> � I <br /> I SEE SKETCH ATTACHED - = Z 9 Q ' � I, <br /> � <br /> �,INSPECTION ' <br /> ' ---- - <br /> � _ _ <br />