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c <br />z ss <br />h „ <br />Sewer Application and Permit <br />29173 DATE 10-21-93 <br />Service Address <br />3524 Matrore Ave <br />Billing Address <br />City, State. Zip <br />Owner <br />Judy Tl�mwR <br />Connection by <br />VAtkine Enterpriten <br />Address <br />po sox 823P <br />Kirkland NA 48034 <br />Phone <br />514-0544 <br />Legal Description: <br />Lot <br />-- <br />Block <br />Plat <br />Unplatted Description: <br />Type of Permit Repair <br />Remarkslace� 4� 4� PyL <br />enA o.. <br />IMPORTANTI <br />CALL 1-800-424.5555 48-HOURS <br />PRIOR TO DIGGING <br />CALL 259-8810 FOR INSPECTION <br />Utility Account No. <br />TART NO. <br />TO POSTING 10-27-53 <br />Permit Fee $ <br />Connection Charge <br />Trunk $ <br />Lateral $ <br />Total Connection Charge $ <br />Utility Development Fee <br />Water $ <br />Sewer $ <br />Total Development Fee $ <br />Sewer Bond District _ <br />Abutting Lot Line <br />N, S, E, W fl. <br />Approved By <br />Issued By <br />Customer Signaturer- <br />Inspection By �c6�illQw <br />Date Inspected . - a r. - rl <br />SEE SKETCH ATTACHED <br />INSPECTION79471 <br />