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.���"f.T�� . ' .n � �- .. . .1� • '1 � <br />'i <br />� , K ,M j <br />S <br />��._ . 4 <br />Sewer Application�and �Per.mi�,�: `; <br />t <br />�f � <br />. D �y� � i � . 1 (" <br />� ( r �� L ._. f. _t : <br />� 2. 9 9 01 DATE ��/� -/ 7-%� <br />Sarvice Address S 9/ 3- 3nrl �D) �.�_ Uliliry Account No. <br />Billing Address <br />nl ei�i sT <br />City, State, Zip EVEREIT 4A 98203 pe�mit Fee $ <br />Owner SELECT NOh:E i Connection Chargo <br />Conneclian by Trunk <br />Address Lateral <br />Total Connection Charge <br />Utility Development Fee <br />Water <br />Sewer <br />CHART NO. — <br />TO POSTING .7f- .� <br />. <br />Phone <br />�egal Descnption: <br />Lot � � <br />Block <br />P�a� IIANABRtqK DIV 3 <br />Unplattad Description: <br />�EN CONNECTION <br />Typa o� Permi� <br />Remerks <br />IMPORTANT! <br />CALL 1-600-424-5555 48-HOURS <br />PRIOR TO DIGGING <br />CALL 259-8810 FOR INSPECTION <br />70.00 <br />$ <br />$ <br />§ -0 <br />g 179.00 <br />S <br />I79.00 <br />Total Development Fee 5 <br />Sewcr Bond DisMct ���- � �� _ <br />Abutling Lot Line <br />N. S. E. W h. <br />Approved By — <br />Issued By � `� ' � <br />Cuslomer Signature ..�.�..���`�� ��r �%��' ����� <br />Inspedion By ��4 � <br />Dete Inspected � — 4 — t� <br />SEESKETCH ATTACHED <br />INSPECTION . . 2 P .� O � <br />