Laserfiche WebLink
�--_,.�--- , .---- -- --- -----� <br /> , <br /> u CHART NO. <br /> � <br /> `_' TO POSTING..� -ti 1 (�-43 i <br /> � <br /> _ J � , � ; I <br /> f= L L" <br /> ' or � cN � ��i I <br /> (� G <br /> . . _ p .J <br /> v� � M {W. I <br /> Se�N�er Application ant�;�Permi�; � : , � � ` � <br /> :� .'. .� � r `�d �' i <br /> ._ _� � .. w �.�i��. �". L . G 5� 3J <br /> 2 d 9 4 i DATE ��tober 1c, i9�a I <br /> Service.4ddress 0701 - loth or na _ UtilityAccountNo. <br /> I <br /> BillingAddress �13 sF 9v rer� :�.7t sa y _ ��, <br /> City,State,7-ip wa*.rr,_wn o4ynn _ permitFee $ 7n on ' <br /> Owner �onin itaaoo i�- Connection Charge i <br /> Connectionby ow„xr Trunk $ 3�0.0o I, <br /> I <br /> Address Lateral g »5.0o i <br /> Total Connection Charga $ A�YQ@ �'-S.Oo � <br /> Phone as�_.snn UtiliryDevelopmentFee � <br /> legalDescription: Water $ 2Z4•o9 _ � <br /> Lot � _ Sewer $ 509.00 _ <br /> Block TotalDeveloFmenlFee $ nia.nn �� <br /> Plat Nnuntain Viow 7 �'. <br /> Unplatted Description: Sewer Bond Disirict �o�n� III I� <br /> _ _ __ rlbuttinc�Lot Line i <br /> N,S,E,W h• <br /> � <br /> Type of Permit tir.c: mt+xtsC,mv Appreved By �'I <br /> Remarks Issued By J ta�ckvell i <br /> /��-�1' �'tt ;' I��� • � <br /> Customer SignaWre , <br /> i <br /> IYiPOR7ANTl <br /> CALL 1-800-424•SSSS 48•HOURS <br /> PRIOR TO DIG�!NG <br /> Inspection By � '��� � <br /> CALL 253•8810 FOR INSPECTION <br /> Date Inspected — <br /> SEE SKETCH ATTACHED <br /> INSh'RCTIUN .: 2����� '� <br />