Laserfiche WebLink
---- -- , -- <br /> „ :.--- -;- �, -�- . ,,�:.-; . . , .. _ . . , <br /> �T-- -� .,{ , <br /> �, --�--t . <br /> , <br /> CHART NO. <br /> i'- <br /> j TO POSTING � � �� - �� <br /> I . i_ C (.� C�5 �I <br /> � <br /> - � � G o U O m P 'i. <br /> �. r: -�i �. :7 h .t h - <br /> �. ��. _ . C1 M P M M P � <br /> � . . "' w � i <br /> lication ar�d Permit �}}�--�, � ` � [� �(c'..�� <br /> Sewer App u :�T"jW . W �O :- <br /> fi P N <br /> •J �•.. i 3'. L' �1 n us Q t- � � 3 I` p �la C 5.,:' i <br /> � � 6, ' - I ..i C] 2 1 W � '� �` -' Cj �i <br /> _ _ _ ' �i: .. G� Y 3 Ut . <br /> I , ? 9 " U3 DATE - . �`�3/4)vs� ', <br /> Servica Address �3�2 Uppar Rid�e Rd �SB(C6D) Utility Account No. <br /> I I <br /> � Billing Address _ PO Lox 2153 � <br /> 70.00 <br /> City, State, Zip tverecc l�n 98' �z Permit Fee $ ' <br /> �I Owner M r „�,.=*i�� — Connection Charge ! <br /> IConnection by Trunk $ <br /> Address <br /> Laterai $ � <br /> Total Con+iection Charge $ � �� 'I <br /> � Phone — Utility Development Fee <br /> I :61.00 <br /> I LegalDescription: Water $ 688.U0 <br /> ILot Sewer $ , <br /> � Total Development Fee $ 949.00 <br /> IBlock _ <br /> P12t <br /> Unplatted Description: Sewer Bond Disirict <br /> II Ae�tting LotLine <br /> ' N, S, E,W <br /> R. <br /> , <br /> I Type of Permit tiew connect�on qpproved By � <br /> 11 <br /> \, ; 1 ' CB ! <br /> � Remarlcs — Issued By I , I <br /> Customer Signature 1 , � <br /> � <br /> IMPORTANT! <br /> I CALL 1-800-424-5555 48-HOURS _ <br /> pRIOR TO DIGGING ' � <br /> j Inspection B ' <br /> �� CALL 259-8810 FOR INSPECTION Date Inspected I <br /> I ' <br /> i <br /> I� SEE SKETCH ATTACHED I <br /> INSPECTION : z g i G �J � <br /> �� � <br /> � <br />