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- ----- <br /> ., �r,......,.._--T---.,,x_.'I._ _�_ ___—_ . . .., .�... �, y . 5 . ..5.... . <br /> � . ..nr�: . . . � . . ,y. . � . .. . .. , <br /> � CHART NO. --- <br /> r: <br /> .� � L-I G -�(3 <br /> � � � Tn pncT1NG �d <br /> ?4 <br /> w .:. <br /> Sewer Application a�d'�ermit <br /> � 1� , <br /> f) r y� <br /> x � <br /> � : 2 9 3 Q 3 DATE 6 18-93 <br /> Senice Address 1910 26Tt1 ST Utiliry Account No. — <br /> Billing Address samu <br /> City,State,Zip �anct iJA ?8201 permit Fee $ 30.00 <br /> Owner Ruger Thor�neon Connec�ionCharge <br /> Connectionby �iking Conetructlon _ 7Nnk $ <br /> Address _ PO eox 7340 Lateral S <br /> Everetc tiA 9B201 Total Connection Charge $ <br /> Phone 439-1250 Utility Development Fee <br /> Legal Description: Water S <br /> Lot Sewer S <br /> Block Total Development Fee $ - <br /> Plat <br /> � Unplatted Description: Sewer Bond District <br /> IA6utting Lot Line <br /> I N,S.E,W n. <br /> � Type of Permil ' Alteretion/Repair Approved By <br /> Remarks _ Issued By / NH � — <br /> � CustomerSignature1 �' - _ � ��%�-`' '�'•^- — <br /> � IMPORTANTI <br /> I <br /> CALL 1-800-424-5555 48-HOURS <br /> PRIOR TO DIGGING <br /> CALL 259-8810 FOR INSPECTION �nspectlon By.� <br /> iDate Inapected��`� <br /> SEE SKETCH ATTACHED <br /> INSPECTION : :..' 293C? <br />