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CHART N0. --_--- —� <br /> MAR 3a � <br /> TO POSTING <br /> � <br /> Sewer Application and Permit <br /> 2 .3 3 3(1 DATE R-5-92 _ <br /> ( <br /> Service Address �32 ]09TH S7 Se Utltity Account No. I <br /> Billing Address 5��' � <br /> EVP.RF.T7 WA 9P2UA � <br /> Clty, State, Zip — Permit Fee $ , 1�•�� __ i <br /> WILLAIM Ai.AN11FORD <br /> Owner ,_ Connectlor,Charge i <br /> . - i <br /> Connection by ��f k Trunk S <br /> I <br /> Address Lateral 3 I <br /> Total Connection Charge S <br /> � <br /> Phone 355-0435 Utility Development Fee ,, „•, ,, � � ._.,,,, ,� ,y,i,�,r•; ..;,, , , <br /> Legal Descriptlon: Water $., <br /> ;lni�u, ,. , <br /> Lot Sewer ,� ��� . ��•"�' <br /> � �q � ; t .0.nr <br /> Block — Total Development Fee E <br /> Plat _ I <br /> I <br /> Unplaqed Description: Sewer Bond District � <br /> Abutting Lot Line � <br /> — N, S, E, W ft. I <br /> T�pe of Permit NF.N CONNP.CTIOh Approved By <br /> Remark5 �•11` 3'AH'[1CIPANT FpR 77'H At'F: Sff ISSUBd By yF� <br /> -- _ Customer Slgnature_.._ � / <br /> IMPORTANTI <br /> �/e�er �om�� le����P, No fP�UP,I� <br /> CALL 1-800-424-5555 48-HOURS (� <br /> PRIOR TO DIGGING 1Z-i � � �� P i �� � <br /> CALL 259-8810 FOR iNSPECTION Inspectlon ey _ <br /> Date Inspected <br /> SEE SKETCH ATTACHED <br /> INSPECTION � " ^ � � <br />