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, � , , �:. � <br /> ,,, . <br /> u CHART NO. — _ <br /> a <br /> � <br /> � TO Pt��'�,,� � _�, _.%� <br /> � gsss � � �; � p� � <br /> C^ M �Q � � M C'�l W � :�j lf7 <br /> N M M � � � <br /> Sewer Application ��d Pe� ' � M <br /> � <br /> � � � � � �� � � � � <br /> � <br /> .'° 29272 DATE� 6/9/93 <br /> Service Addrese 10118 l6th Av� SS Utility Account No. — <br /> Billing Address � B0Z 98� <br /> City,State,Zip Lk St•.•:.� iiA 98258 Permit Fge $ 70.00 <br /> � Owner u� �ul�y Connection Charge <br /> ; , <br /> Connectfon by Trunk $ <br /> -�- Add►ess Lataral a <br /> � � Total Connectbn Charge $ -a <br /> Phone Utility Development Fee <br /> I Legal Descrfption: Water $ 179.00 <br /> ' Lot 2A Sewer a_ 471.00 <br /> , <br /> Blodc Total Development Fee a � 650.00 <br /> Plat ���'�r Ct <br /> Unpiatted Description: Sewer Bond Dfstrfct <br /> Abutting Lot lJne <br /> N, S, E,W ft. <br /> Type of^ermit Diw conn�etion Approved By <br /> Remarks Issued By— - <br /> Customer Signature � <br /> IMPORTANT! <br /> CALL 1-800-424-5555 48-HOURS <br /> PRIOR TO DIGGING � /o,, � � o� <br /> CALL 259-8810 FOR INSPE�TION Inspection ey_�/��`�`�`` <br /> Date Inspected B - Z� -f� <br /> SEE SKETCH ATTACHED <br /> INSPECTION !`:w Z S Z�� <br />