Laserfiche WebLink
�"'Iea�+�sa+ele�4.�",�4�'-'l1Ct�'�,ti1tRl�Sav-'� <br /> ,.l+'*�,'c-�.*�".-...<--,a^.�..r�-.^"""„�.-- ""'..^ . a <br /> , CHART NO. ---- <br /> � TO POSTING_� -� 4`� <br /> � <br /> b <br /> � �:�:` 'u�5 8 ;-. �ti �: <br /> � 4i� . . ' <br /> y [`, �'. �n .x�� lC G F: ,'n <br /> U Ul � Y ,� �. . <br /> �•� ' A i • . • '� n <br /> Sewer Applicatiori .and/�. ����y�-�( �� ,,_] �, ;_ <br /> p �� ' �{-` %�i �e F v' � ,� 1�'. � 1: <br /> � �y . �j w�E �. j j . . ' <br /> 2 4 4 3 3 DATE 9�-- , <br /> 5732 1oc Dr H Utility Account No. <br /> Service Address —�— • .- - <br /> 217 Eln St _ <br /> Bllling Address �0.00 <br /> Ciry,State,_'Ip <br /> Evr.tt VA 98203 permitFee S <br /> Owner SeLcc Homae Inc ConnecqonCharge <br /> � C� Trunk S <br /> Connection by <br /> Lateral S—�— <br /> pddress <br /> Total Connection Charge E�— <br /> phone __ Utiliry Development Fee <br /> E 179.00 <br /> Legel Deuription: <br /> Water <br /> Sewer S — <br /> Lot i 179.00 <br /> Total Development Fee E <br /> Bbck <br /> PIa� H�nabrook dlv l I�LTD /l <br /> Unplened Descdption: <br /> Sewer Bond Dislrict <br /> Abutlin�Lot Llne <br /> N,S.E.W n. <br /> Type ol Pertnit t�ev connection Approved By <br /> CB <br /> Remarks Issued By ' �:�,� y� .L <br /> ;i,((�;:;! 19 7 �, <br /> Customer Signature � <br /> IMPORTANT! <br /> CAIL 1�80W24-5555 48-HOURS <br /> pRIOR TO DIGGING <br /> Inspec�ioo By �`�/"'-'�` ' <br /> CALL 259-8810 FOR INSPECTION Date�nspected ��-�'f"� J � <br /> I <br /> SEE SKETCH ATTACHED : 7�4 3 Z <br /> INSPECTION <br />