Laserfiche WebLink
��� <br />O � x <br />C H <br />�H� <br />H�� <br />Ky� <br />� H � <br />ti <br />H� <br />ONb <br />H^�g <br />M. V n <br />Cy� <br />HH <br />� <br />f) C7 f�q <br />�q [� <br />HOvi <br />CHART N0. <br />, �y.. o�. �G n ;� t, c2� : <br />_ � <br />- .. , _ r, c i, <br />Sewer A►pplicatio;n and Permi#_ �: <br />�) n. `�'I ,i �.- :. �� . . �. � � . <br />DATE %-"'-�% <br />Service Address 8611 bth P1 S[ <br />Billing Address —°E1'B _ <br />City, State, Zip EvureC[ uA 98200 _ <br />Owner 'eggy Sue Nntnon <br />ConneC�ionby 6ar� Johnson F.n[erprir,ce Inc <br />Address _=3417 32nd Avo TE <br />Arling[on KA ?&:23 <br />Phone 435-9515 <br />Legal Descripti�n: <br />Lo� � nl Cnxccdc `fountuin Vieu DSv 3 <br />Block <br />Plat _ <br />Unplatted Description: <br />Type of Parmit Nliid CONNECTIG1i <br />Remarks <br />IMPORTANT! <br />CALL 1-800-424-5555 48-HOURS <br />PRIOR TO D�GGING <br />CALL 255-8810 FOR INSPECTION <br />SEE SKETCH ATTACHED <br />Utility Account No. <br />Tp POSTING �'' � `' <br />Permit Fee $ 7�.00 <br />Connection Charge <br />Trunk $ �it:diiR 3>0.00 <br />Lateral � FYZYIIfl 395.00 <br />Total Connection Charge $ RSRY9A 725.00 <br />Utility Deveiopment Fee <br />Water g U9.D0 <br />Sewer $ 47t.o0 <br />Total Development Fee $ 650.00 <br />Sewer Bond District I it <br />Abutting Lot Line <br />N, S, E, W h• <br />Approved By <br />Issued By 1�'� � <br />CustomerSignature ';:f--2 � '`��y'"`"`--��� <br />Inspection By� �� ,,5 � <br />Date Inspected ��'-rS�— <br />INSP[CTION <br />., ,.•n- <br />, �. <br />