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�.�.....�.��=.--����- _ � � _.�..__„ <br /> � <br /> �, ; <br /> , ,,, , , CHART NO. — i <br /> ,,,,. TQ nn�.?�lVG `.�'� -� U <br /> ,�/ i r_ ' j <br /> I�, ;,, <br /> -...�. . . � I . — f.l <br /> ' �s,.r . �.'i ': -� n - �_i r_. <br /> , .. _ � <br /> Sewe� Application and Perr�ni� , �. <br /> �_. <br /> � �' „ � ,s �, _ _ _ <br /> ' DATE �-19-93 i <br /> ipi� — <br /> Service Address �'y 4or.h P1 Utility Account No. -- <br /> Billing Address 3240 Enetleke Avc E ;�?.Ou _ _ <br /> City, State, Zip Sentele HH 981tiz pprmit Fee $ 70.00 <br /> Owner ila�'Y }30��" �_ Connection Charge <br /> Connection by Trunk $ _ <br /> Address Lateral $ <br /> - Total Connection Charge $ ��— <br /> Phone Utility Development Fee <br /> Legai Description: Water $ ?"4.00 <br /> Lot ��/ �° �f 511vcrh:�w': 539.00 <br /> Sewer g <br /> Block Total Development Fee $ _ &13.UO <br /> Plat <br /> Unplatted Description: _ Sewer Bond District *7'�' <br /> Abutting Lot Line <br /> . N� S� E, W R. <br /> Type of Permit _ tic,w counection qpproved By <br /> Remarks Issued By � <br /> Customer Signature?�� � ` � � �� �' %� � � ! ` � -1. + <br /> ; <br /> , <br /> IMPOR'PANT! <br /> CALL 1-$QO-424-5555 48-HOURS <br /> PRIOR TO DIGGING <br /> Inspection By ����N <br /> CALL 259-8810 FOH INSPECTION <br /> Date inspected � Z' �� <br /> SEE SKETCH ATfACHED <br /> INSPECTION 2�3 3 $ <br /> . . . . . . b� �. <br /> . . . �tii�.[�w ��. � � _a.. biL��. .,__ . �1 <br />