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. -' _ • .a"F:^/�'lP.r7s�"�'.�IRV^.;.t��".. � .'6`: �,- :rYo._w•°�c��.'.g. „ . .. ...-... .. <br /> r' _ CHART N0. — <br /> TO POSTING `�"�1.�; 1 <br /> ; <br /> �=; r� p <br /> �:� �i C: Ci �i i.: i f� L� O <br /> (�':' �.'� li'i C+ i7 � iu b� O I� [1 f l <br /> :: t�. tJ .ii N ' ...� tl'_ H Mi ' <br /> lication and P�rxnii't.: ~. � M `� � , , ' <br /> pp �, _� � " : <br /> , � � tr , <br /> Sewer A ^ ,^ , :L � r ,� � � � :: <br /> :: o �. � : t� n � o �- oar w � <br /> �. ci ii�ia � � � � a "rS' _. . <br /> p� K � 4. T G; u —� f� _. <br /> �' 2 3 5 �J�J DATE ���,Cr�%� � <br /> .,,, �� <br /> Service Address J rL�� � r�������V Utility Account No. <br /> Billing Address ,������� ✓�°�''����' �ir _ <br /> Cfty, State, Zip � ���-���'/'�-�-C_ ��%�7 Perrtlit Fee ;, $ �Ci. `� I <br /> / <br /> Owner � � " Connection Charge <br /> Connection by � Trunk $ <br /> Address Lateral $ <br /> Total Connection Charge $ �' — <br /> Phone Utiliry Development Fee <br /> Legal Description: Water $ 2��/•!��� <br /> �o: _ // :��;�c,i l�l�,l,l_ � seWe� s , / <br /> Block Total Development Fee $ 2Z�/ '�r% <br /> Plat <br /> Unplatted Description: _ Sewer Bond District <br /> Abutting Lot Line <br /> N,S, E,W n• <br /> Type of Permit �' .ri.P� / //�LJ��f��h � Approved By <br /> Remarks Issued By �� <br /> / <br />' Cuatomer Signature <br />, IMPORTANTI <br /> CALL 1-800-424-5555 48-HOURS <br /> PRIOR TO DIGGING ' <br /> Inspedion By ��'�"'A^ <br /> CALL 259-8810 FOR INSPECTION <br /> Date Inspected 5�'�6 "yx <br /> SEE SKETCH ATTACHED a � � � � <br /> INSPECTION • - <br />