Laserfiche WebLink
"_.Tj.r',^'.U'i�:4'r�S'�,i'T!7'�i'f+r� '+4':-' ♦iO�u`.�:��i- i'i 7..�1. ".�.�c �i�,+�, �.F: ,:bu,r�,� .��:.li�TT.::'.TS—i�.-q.�f(�°"cTc"rt',*.^•��.n <br /> .� <br /> :. CHART NO. � <br /> r� <br /> '�= rn pO�TING�-9___T__ <br /> � <br /> �I � p �1pp O <br /> 'k� r O � O tliC� �� C+ �. ,.. �0 <br /> c! �? G �' + U (� PO � 6� <br /> `G� K� -+ +� t ! C- h 4� ' O <br /> � w .n : a� � + . <br /> p, ei f .; <br /> � , . <br /> Sewer Applicatiort� a�l Pe,�m,�#� � � ., <br /> � �- U <br /> � � � G u � � � � � W � � � <br /> � � � � � �, � � � �c _. �. ,_, <br /> ' . 2 9 6 � 5 DATE <br /> Service Address /'"� � � �n���l v� . Utility Account No. <br /> Billfng Address �� 7� � �% � -� <br /> Cily, State,Zip ��ZG'" -- Permit Fee $ /��, l�' I <br /> Owner L � � �����G�?^�� Connection Charge <br /> � <br /> Connection by �o� r ��'�"'d Trunk S I <br /> Address -- Lateral S <br /> _ Totel Connection Charge E � <br /> Phone Utiliry Development Fee <br /> Lepal Description: Water S �/, � � �Q <br /> Lot Sewer S `'� 7�'l u <br /> Block Total Development Fee S �"�v• �G <br /> Plat <br /> Unptattaa�eecription: Sewer Bond District � <br /> Abutting Lot Line <br /> _,I. N, S, E,W n � <br /> Type of Permit �?�C� ) ('l) );i)Pr (t/»t i Appraved BY � <br /> Remarlcs Jssued By `a I <br /> Customar 5lgnature l <br /> i <br /> IMPORTANT! <br /> CALL 1-800-424-5555 48-HOURS � <br /> PRIOR TO DIGGING ' ! <br /> '�c�ti/. �.� � <br /> CALL 259-8810 FOR INSPECTION Inspection By i <br /> Date Inspected �^ � °y <br /> � I <br /> SEE SKETCH ATTACHED �, <br /> INSPECTION �� ? �� � ' <br /> i <br /> i <br />