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, '��_ —. ' _ ..:1 , _ .`'"'—''��; l'� � ... <br />r� <br />r� <br />�pl <br />:7� <br />G^ <br />� <br />4� <br />c r• G' n r <br />i i_? �., ��C. � f':i [J _] O�i iir i'_!i L'�i <br />W <br />� � r� O 1 G f:� V? '� 1!I f, ..• O� <br />_ yl G`. iU .�1 `P {� C GI p '- f,�i "1 <br />L"t a! wT ;A Ht G'� ,-i � a., t. <br />1 Cr. <br />:",l +n aA .s. 1 :� M .� <br />C'- '1 !': �n [� . �p <br />Sewer App��ation �; .�'e�r..�it� _: <br />' �'J' (x•� C1 '" C'] tr5 '*J G . r-J t��ll W tyI �. �.,1 .+ • <br />..+ Op � u� �i [� u� p I- O� Cc` 3w C' �J <br />1; ) :l �:i� �" Gi G:: G� 6� p. f�j i� Y< U� .-J �" <br />2 9 2 2 7 = DATE .� �2'�.� __ <br />Service Address 2�� ��� ��^ ��-�—'-- Utility Account No. <br />Billing Address 14410 ffiiL-RED RD <br />City, State, Zip BELLEVUS SaA 9FS007 permit Fee $ <br />Owner COLON'1 CRAFT Connection Charc�e <br />Connection by �C'� Trunk <br />Address <br />Phone <br />Legal Description: <br />�� �ot /n9 <br />! Block <br />I <br />Plat F3�INABROOK nIV TI <br />Unplatted Description: <br />� NEK CONNfiCTION <br />Type of Permit _ <br />' Remarks <br />IMPORTANTI <br />CALL 1-80G-424-5555 48-HOURS <br />PRIOR TO DIG�iING <br />CALL 259-5810 FOR INSPECTION <br />-- � <br />:�ceral <br />CHART NO. <br />TO POS�TING�� <br />Total Connection Charge <br />Utility Development Fee <br />Water <br />Sewer <br />Total Development Fee <br />$ <br />$ <br />$ <br />224.00 <br />224.00 <br />Se+ver Bond District Cn In <br />Aburiing Lot Line <br />N� g� E� yy ft. <br />Approved By <br />Issued By �� ' ', <br />. , % I . <br />Cuatomer �fgn2ture� �� =�:;� � � �� ���� <br />Inspection By ���`' ��a' <br />Date Inspected G-3- 5 a <br />SEE SKETCN ATTA,CHED <br />� INSPECTION � Q � 2 � <br />---- __ _ . _ _ --- __ _ ---- ____ <br />