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-.— -- —1. --s � � ,' --�Yr� <br /> � � {TVj(�.{}�...Y^ ��u. �t����� . �y�� �.:l1tMV y�� 1��:i':��4.. �Yy�{Y��vfY%�JL/ui1�:(%W'4'� ���0 <br /> y �( <br /> !� d ! r,j+ � '!YY�l'ii!� <br /> � �� +' CHART NO. <br /> L� <br /> .p <br /> � TO POSTING � �-30 �''3 <br /> ; � � � � g � s � s � <br /> �. • • � <br /> " � � Y � d <br /> , � � � � � w � � N <br /> CV <br /> Sewer Application � Per�n � M <br /> � �� � � � � : � <br /> ; � � � � � �� � � � � � �: „ <br /> ; �� 29313 DATE _ 6/7.3/93 <br /> , �- 50 -ti � <br /> , Service A:'�ress 10123 26ih Aoe SH Utiliry Account No. <br /> ' Billing Address 2Z629 S3sd Ava SE <br /> I Both�ll We 98027. 70.00 <br /> i °: City, State,Zip -- Permit Fee $ <br /> 1 Owner pouala� Krllo Connection Charge <br /> � � Connection by Trunk $ <br /> � Address — Lateral $ <br /> ! <br /> Total Connection Charge S '�' <br /> Phone Utility Development Fee <br /> Legal Description: Water $ 179.00 <br /> �t 21 Sewer $ 471.00 <br /> g� Total Development Fee a 6so.00 <br /> Plat 81s�ahov�r Ct <br /> Unplatted Description: Sewer Bond District <br /> IAbutting Lot Line <br /> 1 N,s, e,w n. <br /> Type of Permft � CO°°�c�ion Approved By <br /> Remarks Issued By ab — <br /> ICustomer Signature � � � f � � / <br /> IMPORTANT! <br /> � CALL 1-800-424-5555 48-HOURS <br /> PRIOR TO DIGGING <br /> Inspection B --z� <br />� CALL 259-8810 FOR INSPECTION <br /> Dffie Inspocted <br /> � �EE SKETCH ATTACHED `�.'4 2 g 313 <br /> IINSPECTION— • '- <br />